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1467735761
EDGAR MIGUEL GALICIA
COMPTON, CA
NPI
1467735761
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA RW4113)
Enumeration Date
2011-09-22
Last Update Date
2011-11-16
Business Address
Mr. EDGAR MIGUEL GALICIA
1228 E COMPTON BLVD
COMPTON, CA 90221-3310
Phone number: 310-608-1505
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Mailing Address
Mr. EDGAR MIGUEL GALICIA
1228 E COMPTON BLVD
COMPTON, CA 90221-3310
Phone number: 310-608-1505
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