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1255650206
JUAN ULLOA GONZALEZ
WHITTIER, CA
NPI
1255650206
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA RW3163)
Enumeration Date
2010-05-28
Last Update Date
2010-05-28
Business Address
-- JUAN ULLOA GONZALEZ
13455 PLACID DR
WHITTIER, CA 90605-4257
Phone number: 562-565-4048
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Mailing Address
-- JUAN ULLOA GONZALEZ
13455 PLACID DR
WHITTIER, CA 90605-4257
Phone number: 562-565-4048
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