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1841611514
IVAN FLORES CORDERO
CULVER CITY, CA
NPI
1841611514
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA M-RAS F1301181626)
Enumeration Date
2013-12-26
Last Update Date
2014-12-30
Business Address
-- IVAN FLORES CORDERO
11133 WASHINGTON BLVD
CULVER CITY, CA 90232-3918
Phone number: 310-895-2345
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Mailing Address
-- IVAN FLORES CORDERO
4760 SEPULVEDA BLVD
CULVER CITY, CA 90230-4820
Phone number: 310-390-6612
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