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1225425051
LUIS POLANCO
VAN NUYS, CA
NPI
1225425051
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2015-04-20
Last Update Date
2015-04-20
Business Address
LUIS POLANCO
14660 OXNARD ST
VAN NUYS, CA 91411-3119
Phone number: 818-901-4836
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Mailing Address
LUIS POLANCO
14660 OXNARD ST
VAN NUYS, CA 91411-3119
Phone number: 818-901-4836
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