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1447868963
LUIS HUMBERTO PROANO
LOS ANGELES, CA
NPI
1447868963
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 92403)
Enumeration Date
2020-07-21
Last Update Date
2020-07-21
Business Address
LUIS HUMBERTO PROANO
4969 W SUNSET BLVD
LOS ANGELES, CA 90027-5813
Phone number: 213-905-2143
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Mailing Address
LUIS HUMBERTO PROANO
316 S GERHART AVE
LOS ANGELES, CA 90022-2353
Phone number: 323-519-2462
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