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1710720016
ENRIQUE HUMBERTO GUSMAN
LOS ANGELES, CA
NPI
1710720016
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 13632)
Enumeration Date
2024-06-14
Last Update Date
2024-06-14
Business Address
ENRIQUE HUMBERTO GUSMAN SUDRC
1227 N ORANGE DR APT 208
LOS ANGELES, CA 90038-1096
Phone number: 323-445-0011
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Mailing Address
ENRIQUE HUMBERTO GUSMAN SUDRC
1227 N ORANGE DR APT 208
LOS ANGELES, CA 90038-1096
Phone number: 323-445-0011
Copy
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