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1699950840
CARLOS MORENO
VAN NUYS, CA
NPI
1699950840
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2008-01-07
Last Update Date
2008-01-07
Business Address
Mr. CARLOS MORENO
14558 SYLVAN ST
VAN NUYS, CA 91411-2324
Phone number: 818-787-4151
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Mailing Address
Mr. CARLOS MORENO
13935 MULBERRY DR
WHITTIER, CA 90605-3043
Phone number: 562-556-1279
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