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1144821935
EDGAR ISIDORO
LONG BEACH, CA
NPI
1144821935
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2020-11-06
Last Update Date
2020-11-06
Business Address
EDGAR ISIDORO
1775 CHESTNUT AVE
LONG BEACH, CA 90813-1674
Phone number: 562-599-8444
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Mailing Address
EDGAR ISIDORO
327 W 58TH ST
LOS ANGELES, CA 90037-4123
Phone number: 323-579-5386
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