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1205611142
NANCY CARRILLO
COVINA, CA
NPI
1205611142
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2023-08-29
Last Update Date
2023-09-21
Business Address
NANCY CARRILLO
510 S 2ND AVE
COVINA, CA 91723-3017
Phone number: 626-974-8123
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Mailing Address
NANCY CARRILLO
596 N MARENGO AVE APT 5
PASADENA, CA 91101-1051
Phone number: 626-319-5424
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