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1275889586
MIGUEL ENRIQUE GALLARZO
LOS ANGELES, CA
NPI
1275889586
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2012-07-24
Last Update Date
2012-07-24
Business Address
Mr. MIGUEL ENRIQUE GALLARZO
5801 E BEVERLY BLVD
LOS ANGELES, CA 90022-2805
Phone number: 323-722-4529
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Mailing Address
Mr. MIGUEL ENRIQUE GALLARZO
5801 E BEVERLY BLVD
LOS ANGELES, CA 90022-2805
Phone number: 323-722-4529
Copy
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