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1225238488
GAMALIEL POLANCO
LOS ANGELES, CA
NPI
1225238488
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CA ASW22095)
Enumeration Date
2007-07-24
Last Update Date
2007-07-24
Business Address
-- GAMALIEL POLANCO
5807 AVALON BLVD
LOS ANGELES, CA 90011-5303
Phone number: 323-234-4445
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Mailing Address
-- GAMALIEL POLANCO
5807 AVALON BLVD
LOS ANGELES, CA 90011-5303
Phone number: 323-234-4445
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