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1275049157
JAVIER ALFONSO RENDON
LOS ANGELES, CA
NPI
1275049157
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2017-12-14
Last Update Date
2017-12-14
Business Address
JAVIER ALFONSO RENDON
2436 WABASH AVE
LOS ANGELES, CA 90033-2510
Phone number: 323-780-5756
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Mailing Address
JAVIER ALFONSO RENDON
2436 WABASH AVE
LOS ANGELES, CA 90033-2510
Phone number: 323-780-5756
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