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1508004359
ALEX TREVINO
SYLMAR, CA
NPI
1508004359
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2009-02-02
Last Update Date
2009-02-02
Business Address
Mr. ALEX TREVINO
12908 MACNEIL ST
SYLMAR, CA 91342-4918
Phone number: 818-763-7919
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Mailing Address
Mr. ALEX TREVINO
12908 MACNEIL ST
SYLMAR, CA 91342-4918
Phone number: 818-763-7919
Copy
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