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1619431806
MARCELO TEJADA
PICO RIVERA, CA
NPI
1619431806
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-01-22
Last Update Date
2019-01-22
Business Address
MARCELO TEJADA
8207 WHITTIER BLVD
PICO RIVERA, CA 90660-2521
Phone number: 323-605-2965
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Mailing Address
MARCELO TEJADA
4325 CLARA ST
CUDAHY, CA 90201-5058
Phone number: 323-605-2965
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