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1376014365
OMAR MALDONADO
PASADENA, CA
NPI
1376014365
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-12-17
Last Update Date
2018-12-17
Business Address
OMAR MALDONADO
1680 N FAIR OAKS AVE
PASADENA, CA 91103-1642
Phone number: 626-626-3949
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Mailing Address
OMAR MALDONADO
1680 N FAIR OAKS AVE
PASADENA, CA 91103-1642
Phone number: 626-626-3949
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