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1518597723
IVAN JOSUE VARGAS
LOS ANGELES, CA
NPI
1518597723
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1352400619)
Enumeration Date
2020-01-16
Last Update Date
2023-05-26
Business Address
Mr. IVAN JOSUE VARGAS
8300 S VERMONT AVE
LOS ANGELES, CA 90044-3493
Phone number: 323-525-6400
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Mailing Address
Mr. IVAN JOSUE VARGAS
8300 S VERMONT AVE
LOS ANGELES, CA 90044-3493
Phone number: 323-525-6400
Copy
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