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1760220289
MARIO GONZALEZ
LANCASTER, CA
NPI
1760220289
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2024-07-18
Last Update Date
2024-07-18
Business Address
MARIO GONZALEZ SUDRC18164
44447 10TH ST W
LANCASTER, CA 93534-3324
Phone number: 818-996-1051
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Mailing Address
MARIO GONZALEZ SUDRC18164
44447 10TH ST W
LANCASTER, CA 93534-3324
Phone number: 818-996-1051
Copy
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