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1578040820
SAMUEL GONZALEZ
WILMINGTON, CA
NPI
1578040820
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-07-19
Last Update Date
2018-07-19
Business Address
SAMUEL GONZALEZ
1322 N AVALON BLVD
WILMINGTON, CA 90744-2639
Phone number: 310-513-1300
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Mailing Address
SAMUEL GONZALEZ
1322 N AVALON BLVD
WILMINGTON, CA 90744-2639
Phone number: 310-513-1300
Copy
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