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1750595666
ESTEVAN SAMUEL GOMEZ
LOS ANGELES, CA
NPI
1750595666
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-05-09
Last Update Date
2020-07-21
Business Address
Mr. ESTEVAN SAMUEL GOMEZ
4814 SAN MARCOS PL
LOS ANGELES, CA 90042-3247
Phone number: 323-256-0443
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Mailing Address
Mr. ESTEVAN SAMUEL GOMEZ
4814 SAN MARCOS PL
LOS ANGELES, CA 90042-3247
Phone number: 323-256-0443
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