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1679319610
MARIANO EGUIZABAL
LANCASTER, CA
NPI
1679319610
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 18429)
Enumeration Date
2024-07-08
Last Update Date
2024-07-08
Business Address
MARIANO EGUIZABAL
44443 10TH ST W
LANCASTER, CA 93534-3346
Phone number: 661-726-2630
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Mailing Address
MARIANO EGUIZABAL
44447 10TH ST W
LANCASTER, CA 93534-3324
Phone number: 661-726-2630
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