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1679086276
EDWIN MORENO
LOS ANGELES, CA
NPI
1679086276
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2017-11-06
Last Update Date
2018-01-16
Business Address
EDWIN MORENO
11601 S WESTERN AVE
LOS ANGELES, CA 90047-5006
Phone number: 323-242-5000
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Mailing Address
EDWIN MORENO
11601 S WESTERN AVE
LOS ANGELES, CA 90047-5006
Phone number: 323-242-5000
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