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1639717390
MARIO CHICO
PASADENA, CA
NPI
1639717390
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 13592-R)
Enumeration Date
2019-12-12
Last Update Date
2019-12-12
Business Address
Mr. MARIO CHICO
1245 E WALNUT ST
PASADENA, CA 91106-1878
Phone number: 626-773-4364
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Mailing Address
Mr. MARIO CHICO
1245 E WALNUT ST
PASADENA, CA 91106-1878
Phone number: 626-773-4364
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