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1255771085
SERGIO CERVANTES
GARDENA, CA
NPI
1255771085
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2013-06-25
Last Update Date
2013-06-25
Business Address
-- SERGIO CERVANTES
15519 CRENSHAW BLVD
GARDENA, CA 90249-4525
Phone number: 310-679-9031
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Mailing Address
-- SERGIO CERVANTES
15519 CRENSHAW BLVD
GARDENA, CA 90249-4525
Phone number: 310-679-9031
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