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1164045886
VINCENT GIOVANNI CRUZ
VENICE, CA
NPI
1164045886
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1389180520)
Enumeration Date
2020-05-28
Last Update Date
2020-05-28
Business Address
VINCENT GIOVANNI CRUZ
503 OCEAN FRONT WALK
VENICE, CA 90291-2403
Phone number: 310-392-3070
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Mailing Address
VINCENT GIOVANNI CRUZ
503 OCEAN FRONT WALK
VENICE, CA 90291-2403
Phone number: 310-392-3070
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