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1144490699
ALEX RIVAS
SYLMAR, CA
NPI
1144490699
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2008-03-11
Last Update Date
2008-03-11
Business Address
-- ALEX RIVAS
13741 FOOTHILL BLVD
SYLMAR, CA 91342-3133
Phone number: 818-833-9789
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Mailing Address
-- ALEX RIVAS
13741 FOOTHILL BLVD
SYLMAR, CA 91342-3133
Phone number: 818-833-9789
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