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1275935801
CARLOS JULIO GONZALEZ
VENICE, CA
NPI
1275935801
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2014-09-26
Last Update Date
2014-09-26
Business Address
-- CARLOS JULIO GONZALEZ
204 HAMPTON DR
VENICE, CA 90291-2623
Phone number: 310-396-6468
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Mailing Address
-- CARLOS JULIO GONZALEZ
604 WOODLAWN AVE
VENICE, CA 90291-4851
Phone number:
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