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1750753430
JOHN DE LA TORRE
HAWTHORNE, CA
NPI
1750753430
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2015-10-21
Last Update Date
2015-10-21
Business Address
-- JOHN DE LA TORRE
2501 W EL SEGUNDO BLVD
HAWTHORNE, CA 90250-3317
Phone number: 323-754-2816
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Mailing Address
-- JOHN DE LA TORRE
2501 W EL SEGUNDO BLVD
HAWTHORNE, CA 90250-3317
Phone number: 323-754-2816
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