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1588391551
MARK ANTHONY CARRASCO
LOS ANGELES, CA
NPI
1588391551
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2022-08-01
Last Update Date
2022-08-01
Business Address
MARK ANTHONY CARRASCO
470 E 3RD ST STE A&B
LOS ANGELES, CA 90013-1629
Phone number: 213-626-6411
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Mailing Address
MARK ANTHONY CARRASCO
470 E 3RD ST STE A&B
LOS ANGELES, CA 90013-1629
Phone number: 213-626-6411
Copy
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