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1457980898
NOE ALFREDO GAVIDIA
LOS ANGELES, CA
NPI
1457980898
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2020-04-07
Last Update Date
2020-04-07
Business Address
Mr. NOE ALFREDO GAVIDIA
1926 BEVERLY BLVD
LOS ANGELES, CA 90057-2402
Phone number: 213-353-1140
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Mailing Address
Mr. NOE ALFREDO GAVIDIA
1926 BEVERLY BLVD
LOS ANGELES, CA 90057-2402
Phone number: 213-353-1140
Copy
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