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1831839273
ALFONSO VALENCIA
LOS ANGELES, CA
NPI
1831839273
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2022-04-01
Last Update Date
2022-09-22
Business Address
ALFONSO VALENCIA
4445 BURNS AVE
LOS ANGELES, CA 90029-2702
Phone number: 323-222-1440
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Mailing Address
ALFONSO VALENCIA
4445 BURNS AVE
LOS ANGELES, CA 90029-2702
Phone number: 323-222-1440
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