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1205379385
KEVIN PEGUES
LOS ANGELES, CA
NPI
1205379385
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA RADT-I 1231420616)
Enumeration Date
2016-11-22
Last Update Date
2016-11-22
Business Address
-- KEVIN PEGUES RADT-I
515 E 6TH ST
LOS ANGELES, CA 90021-1009
Phone number: 213-689-2179
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Mailing Address
-- KEVIN PEGUES RADT-I
515 E 6TH ST
LOS ANGELES, CA 90021-1009
Phone number: 213-689-2179
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