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1497311419
EDDAMARINA BACELIS
LOS ANGELES, CA
NPI
1497311419
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-05-15
Last Update Date
2021-01-12
Business Address
EDDAMARINA BACELIS
2010 LINCOLN PARK AVE
LOS ANGELES, CA 90031-3119
Phone number: 323-222-1440
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Mailing Address
EDDAMARINA BACELIS
2010 LINCOLN PARK AVE
LOS ANGELES, CA 90031-3119
Phone number: 323-222-1440
Copy
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