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1184833907
FERNANDO GUADERRAMA
PANORAMA CITY, CA
NPI
1184833907
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-05-21
Last Update Date
2007-07-08
Business Address
-- FERNANDO GUADERRAMA
9462 VAN NUYS BLVD
PANORAMA CITY, CA 91402-1310
Phone number: 818-891-8555
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Mailing Address
-- FERNANDO GUADERRAMA
9462 VAN NUYS BLVD
PANORAMA CITY, CA 91402-1310
Phone number: 818-891-8555
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