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1285004291
GREGORY MENA
GARDEN GROVE, CA
NPI
1285004291
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 980291 III)
Enumeration Date
2015-10-02
Last Update Date
2015-10-02
Business Address
-- GREGORY MENA
9842 13TH ST
GARDEN GROVE, CA 92844-3171
Phone number: 714-531-4624
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Mailing Address
-- GREGORY MENA
9842 13TH ST
GARDEN GROVE, CA 92844-3171
Phone number:
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