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1154971729
RUBEN KIM RODRIGUEZ
SAN FERNANDO, CA
NPI
1154971729
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 6624-R)
Enumeration Date
2019-09-16
Last Update Date
2019-09-16
Business Address
Mr. RUBEN KIM RODRIGUEZ
762 GRISWOLD AVE
SAN FERNANDO, CA 91340-2105
Phone number: 747-500-9415
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Mailing Address
Mr. RUBEN KIM RODRIGUEZ
9363 SYLMAR AVE APT 7
PANORAMA CITY, CA 91402-1372
Phone number: 818-294-3726
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