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1760246300
KEVIN S FUENTES
LOS ANGELES, CA
NPI
1760246300
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2024-02-13
Last Update Date
2024-02-13
Business Address
KEVIN S FUENTES
12021 WILMINGTON AVE STE 301
LOS ANGELES, CA 90059-3019
Phone number: 424-454-6103
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Mailing Address
KEVIN S FUENTES
12021 WILMINGTON AVE STE 301
LOS ANGELES, CA 90059-3019
Phone number: 424-454-6103
Copy
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