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1275240194
IGNACIO GONZALEZ
COVINA, CA
NPI
1275240194
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2022-10-31
Last Update Date
2022-10-31
Business Address
Mr. IGNACIO GONZALEZ
4626 N GRAND AVE
COVINA, CA 91724-2055
Phone number: 626-331-5316
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Mailing Address
Mr. IGNACIO GONZALEZ
4626 N GRAND AVE
COVINA, CA 91724-2055
Phone number: 626-331-5316
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