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1821711532
BRIAN ILAGAN
LONG BEACH, CA
NPI
1821711532
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 90078)
Enumeration Date
2022-09-19
Last Update Date
2022-09-19
Business Address
BRIAN ILAGAN
3233 E BROADWAY STE 12
LONG BEACH, CA 90803-5817
Phone number: 562-576-3408
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Mailing Address
BRIAN ILAGAN
3233 E BROADWAY STE 12
LONG BEACH, CA 90803-5817
Phone number: 562-576-3408
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