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1174735914
BALDOMERO GONZALEZ
LONG BEACH, CA
NPI
1174735914
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-05-04
Last Update Date
2007-07-09
Business Address
Mr. BALDOMERO GONZALEZ
3125 EAST 7TH STREET
LONG BEACH, CA 90804
Phone number: 562-439-7755
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Mailing Address
Mr. BALDOMERO GONZALEZ
3125 EAST 7TH STREET
LONG BEACH, CA 90804
Phone number: 562-439-7755
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