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1164187068
ANDREW ULISES CAMPOS
LOS ANGELES, CA
NPI
1164187068
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CA 105051)
Enumeration Date
2021-11-04
Last Update Date
2021-11-04
Business Address
Mr. ANDREW ULISES CAMPOS
3455 PERCY ST
LOS ANGELES, CA 90023-1716
Phone number: 323-268-2100
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Mailing Address
Mr. ANDREW ULISES CAMPOS
11053 RANCHITO ST
EL MONTE, CA 91731-1431
Phone number: 323-551-7784
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