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1164774873
JUAN CARLOS CALDERON
LONG BEACH, CA
NPI
1164774873
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2012-10-04
Last Update Date
2012-10-04
Business Address
-- JUAN CARLOS CALDERON
3125 E 7TH ST
LONG BEACH, CA 90804-4932
Phone number: 562-987-5722
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Mailing Address
-- JUAN CARLOS CALDERON
1041 REDONDO AVE
LONG BEACH, CA 90804-3928
Phone number: 562-987-5722
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