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1255779047
ANTHONY MATTHEW CORDOVA
LOS ANGELES, CA
NPI
1255779047
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2013-06-13
Last Update Date
2013-06-13
Business Address
-- ANTHONY MATTHEW CORDOVA
566 S SAN PEDRO ST # 302
LOS ANGELES, CA 90013-2102
Phone number: 626-664-6074
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Mailing Address
-- ANTHONY MATTHEW CORDOVA
566 S SAN PEDRO ST # 302
LOS ANGELES, CA 90013-2102
Phone number: 626-664-6074
Copy
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