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1225473317
MIGUEL ANGEL RETANA
VAN NUYS, CA
NPI
1225473317
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2013-05-03
Last Update Date
2013-05-03
Business Address
MR. MIGUEL ANGEL RETANA
14540 HAMLIN ST
VAN NUYS, CA 91411-1626
Phone number: 818-997-6897
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Mailing Address
MR. MIGUEL ANGEL RETANA
9010 TOBIAS AVE
PANORAMA CITY, CA 91402-1750
Phone number:
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