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1629623582
DANIEL NICO LIBOR
COSTA MESA, CA
NPI
1629623582
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CA 9069)
Enumeration Date
2019-08-07
Last Update Date
2019-08-07
Business Address
DANIEL NICO LIBOR SUDCC
2900 BRISTOL ST STE E103
COSTA MESA, CA 92626-7906
Phone number: 714-540-9070
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Mailing Address
DANIEL NICO LIBOR SUDCC
25611 INDIAN HILL LN UNIT H
LAGUNA HILLS, CA 92653-6099
Phone number: 949-468-7544
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