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1295518322
KRISTOPHER BACA
LOS ANGELES, CA
NPI
1295518322
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2023-08-14
Last Update Date
2023-08-14
Business Address
KRISTOPHER BACA
4445 BURNS AVE
LOS ANGELES, CA 90029-2702
Phone number: 323-691-2877
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Mailing Address
KRISTOPHER BACA
4445 BURNS AVE
LOS ANGELES, CA 90029-2702
Phone number: 323-691-2877
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