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1588791776
MIGUEL ANGEL PALOS
AZUSA, CA
NPI
1588791776
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA I2001606)
Enumeration Date
2007-02-27
Last Update Date
2007-07-08
Business Address
-- MIGUEL ANGEL PALOS
818 N SOLDANO AVE
AZUSA, CA 91702-2559
Phone number: 626-334-4187
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Mailing Address
-- MIGUEL ANGEL PALOS
15229 AMAR RD
LA PUENTE, CA 91744-2066
Phone number: 626-855-5090
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