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1215719638
CRYSTAL M VEGA
LOS ANGELES, CA
NPI
1215719638
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA Sudrc16499)
Enumeration Date
2023-10-19
Last Update Date
2023-10-19
Business Address
CRYSTAL M VEGA
1701 ZONAL AVE
LOS ANGELES, CA 90033-1065
Phone number: 213-451-0288
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Mailing Address
CRYSTAL M VEGA
10144 SAN ANTONIO AVE
SOUTH GATE, CA 90280-6018
Phone number: 213-451-0288
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