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1699545764
HENRY BALTAZAR
EL MONTE, CA
NPI
1699545764
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 16524)
Enumeration Date
2024-01-08
Last Update Date
2024-01-08
Business Address
HENRY BALTAZAR
3430 COGSWELL RD
EL MONTE, CA 91732-2785
Phone number: 626-453-3406
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Mailing Address
HENRY BALTAZAR
3430 COGSWELL RD
EL MONTE, CA 91732-2785
Phone number: 626-453-3406
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