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1578179941
LEO VASQUEZAWAREZ
LOS ANGELES, CA
NPI
1578179941
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2020-09-21
Last Update Date
2020-09-21
Business Address
LEO VASQUEZAWAREZ
470 E 3RD ST # AB
LOS ANGELES, CA 90013-1629
Phone number: 213-626-6411
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Mailing Address
LEO VASQUEZAWAREZ
470 E 3RD ST # AB
LOS ANGELES, CA 90013-1629
Phone number: 213-626-6411
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