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1477323970
MARK ANTONIO BARDALEZ
LOS ANGELES, CA
NPI
1477323970
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2024-01-05
Last Update Date
2024-01-05
Business Address
MARK ANTONIO BARDALEZ
307 S CENTRAL AVE
LOS ANGELES, CA 90013-1709
Phone number: 213-372-5233
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Mailing Address
MARK ANTONIO BARDALEZ
12070 TELEGRAPH RD
SANTA FE SPRINGS, CA 90670-3771
Phone number: 562-777-7500
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