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1538897277
JACQUELINE GONZALES
LOS ANGELES, CA
NPI
1538897277
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2022-08-10
Last Update Date
2022-08-23
Business Address
JACQUELINE GONZALES RAD-T 1
515 E 6TH ST
LOS ANGELES, CA 90021-1009
Phone number: 213-251-7612
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Mailing Address
JACQUELINE GONZALES RAD-T 1
4316 LATONA AVE
LOS ANGELES, CA 90031-1426
Phone number: 562-652-8206
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