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1316385040
VICTOR RIVERA
GLENDALE, CA
NPI
1316385040
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2013-06-04
Last Update Date
2013-06-04
Business Address
Mr. VICTOR RIVERA
4544 SAN FERNANDO RD STE 201
GLENDALE, CA 91204-5015
Phone number: 818-240-8843
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Mailing Address
Mr. VICTOR RIVERA
4544 SAN FERNANDO RD STE 201
GLENDALE, CA 91204-5015
Phone number:
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