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1316254360
CHARLIE COREAS
LOS ANGELES, CA
NPI
1316254360
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2010-09-10
Last Update Date
2010-09-10
Business Address
-- CHARLIE COREAS
2724 W FLORENCE AVE
LOS ANGELES, CA 90043-5143
Phone number: 323-759-3464
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Mailing Address
-- CHARLIE COREAS
2724 W FLORENCE AVE
LOS ANGELES, CA 90043-5143
Phone number: 323-759-3464
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