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1154764645
LUIS ALBERTO GONGORA
PHILADELPHIA, PA
NPI
1154764645
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2013-04-15
Last Update Date
2013-04-15
Business Address
Dr. LUIS ALBERTO GONGORA
537 E ALLEGHENY AVE APT/SUITE
PHILADELPHIA, PA 19134-2328
Phone number: 215-291-9500
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Mailing Address
Dr. LUIS ALBERTO GONGORA
537 E ALLEGHENY AVE APT/SUITE
PHILADELPHIA, PA 19134-2328
Phone number: 215-291-9500
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