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1689913055
WALTER JASON SANTOS
VAN NUYS, CA
NPI
1689913055
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2013-02-05
Last Update Date
2013-02-05
Business Address
-- WALTER JASON SANTOS
6218 ATOLL AVE
VAN NUYS, CA 91401-2525
Phone number: 818-321-2411
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Mailing Address
-- WALTER JASON SANTOS
6218 ATOLL AVE
VAN NUYS, CA 91401-2525
Phone number: 818-321-2411
Copy
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