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1194323659
ANTONIO DE JESUS SANCHEZ
VENICE, CA
NPI
1194323659
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2020-10-15
Last Update Date
2020-10-15
Business Address
ANTONIO DE JESUS SANCHEZ
717 LINCOLN BLVD
VENICE, CA 90291-2845
Phone number: 310-399-9883
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Mailing Address
ANTONIO DE JESUS SANCHEZ
717 LINCOLN BLVD
VENICE, CA 90291-2845
Phone number:
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