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1598165722
LUIS GONZALEZ
LOMPOC, CA
NPI
1598165722
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA Aii058050518)
Enumeration Date
2014-08-25
Last Update Date
2022-08-04
Business Address
LUIS GONZALEZ
133 N F ST
LOMPOC, CA 93436-6033
Phone number: 805-315-8392
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Mailing Address
LUIS GONZALEZ
133 N F ST
LOMPOC, CA 93436-6033
Phone number: 805-315-8392
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