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1639900079
MARCO ANTONIO ESPINOZA
VAN NUYS, CA
NPI
1639900079
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CA R1545230124)
Enumeration Date
2024-08-08
Last Update Date
2024-08-08
Business Address
MARCO ANTONIO ESPINOZA RADT I
14332 VICTORY BLVD
VAN NUYS, CA 91401-1944
Phone number: 818-989-1996
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Mailing Address
MARCO ANTONIO ESPINOZA RADT I
14332 VICTORY BLVD
VAN NUYS, CA 91401-1944
Phone number: 818-989-1996
Copy
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