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1619682341
ANTHONY CARLOS MADRID
VICTORVILLE, CA
NPI
1619682341
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1491481222)
Enumeration Date
2023-01-17
Last Update Date
2024-01-24
Business Address
ANTHONY CARLOS MADRID R1491481222
13333 PALMDALE RD
VICTORVILLE, CA 92392-9364
Phone number: 760-487-3600
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Mailing Address
ANTHONY CARLOS MADRID R1491481222
13333 PALMDALE RD
VICTORVILLE, CA 92392-9364
Phone number: 760-241-4917
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