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1639729205
AGUSTIN URBIETA
LOS ANGELES, CA
NPI
1639729205
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-09-16
Last Update Date
2019-09-26
Business Address
AGUSTIN URBIETA
2436 WABASH AVE
LOS ANGELES, CA 90033-2510
Phone number: 323-780-8756
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Mailing Address
AGUSTIN URBIETA
2436 WABASH AVE
LOS ANGELES, CA 90033-2510
Phone number: 323-780-8756
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