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1598896284
GERARDO MAGALLANES
LOS ANGELES, CA
NPI
1598896284
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Additional Taxonomies
225400000X Rehabilitation Practitioner
Enumeration Date
2007-03-07
Last Update Date
2008-01-09
Business Address
Mr. GERARDO MAGALLANES B.S.
12021 WILMINGTON AVE LOT C
LOS ANGELES, CA 90059-3019
Phone number: 310-668-8260
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Mailing Address
Mr. GERARDO MAGALLANES B.S.
339 S WINTON AVE
LA PUENTE, CA 91744-5735
Phone number: 323-208-2767
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