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1174060669
EVELIN MORENO
COVINA, CA
NPI
1174060669
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2017-01-23
Last Update Date
2017-01-23
Business Address
-- EVELIN MORENO
4626 N GRAND AVE
COVINA, CA 91724-2055
Phone number: 626-331-5316
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Mailing Address
-- EVELIN MORENO
4626 N GRAND AVE
COVINA, CA 91724-2055
Phone number: 626-331-5316
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