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1366143539
HENRY PALACIO
LOS ANGELES, CA
NPI
1366143539
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 7316)
Enumeration Date
2023-03-15
Last Update Date
2023-03-15
Business Address
HENRY PALACIO
4099 N MISSSION RD
LOS ANGELES, CA 90032
Phone number: 323-221-1746
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Mailing Address
HENRY PALACIO
4099 N MISSION RD
LOS ANGELES, CA 90032-2697
Phone number: 323-221-1746
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