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1730751389
MICHAEL ANTHONY CARRILLO
ANAHEIM, CA
NPI
1730751389
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: CA 10044)
Enumeration Date
2021-07-13
Last Update Date
2023-03-14
Business Address
MICHAEL ANTHONY CARRILLO
2035 E BALL RD STE 200
ANAHEIM, CA 92806-5157
Phone number: 714-517-6300
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Mailing Address
MICHAEL ANTHONY CARRILLO
2035 E BALL RD STE 200
ANAHEIM, CA 92806-5157
Phone number:
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