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1629298831
CARLOS VILLANUEVA
LOS ANGELES, CA
NPI
1629298831
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-04-27
Last Update Date
2007-07-08
Business Address
-- CARLOS VILLANUEVA
1137 W 6TH ST
LOS ANGELES, CA 90017-1828
Phone number: 213-250-1005
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Mailing Address
-- CARLOS VILLANUEVA
1137 W. 6TH ST.
LOS ANGELES, CA 90017
Phone number: 213-250-1005
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