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1609355155
LUIS JESUS MALDONADO
SANTA MONICA, CA
NPI
1609355155
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 179970)
Enumeration Date
2018-08-07
Last Update Date
2018-08-07
Business Address
LUIS JESUS MALDONADO AOD Counselor
909 PICO BLVD
SANTA MONICA, CA 90405-1326
Phone number: 310-314-6200
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Mailing Address
LUIS JESUS MALDONADO AOD Counselor
909 PICO BLVD
SANTA MONICA, CA 90405-1326
Phone number: 310-314-6200
Copy
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