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1538354014
DANIEL MEDINA
CANOGA PARK, CA
NPI
1538354014
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-09-07
Last Update Date
2007-09-07
Business Address
-- DANIEL MEDINA
7245 OWENSMOUTH AVE
CANOGA PARK, CA 91303-1530
Phone number: 818-593-4581
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Mailing Address
-- DANIEL MEDINA
16731 SHERMAN WAY
VAN NUYS, CA 91406-7001
Phone number:
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