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1861270001
MICHAEL ANGELO GONZALES
UPLAND, CA
NPI
1861270001
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1533911023)
Enumeration Date
2023-09-19
Last Update Date
2024-08-27
Business Address
MICHAEL ANGELO GONZALES
1260 E ARROW HWY
UPLAND, CA 91786-4982
Phone number: 909-623-6391
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Mailing Address
MICHAEL ANGELO GONZALES
1260 E ARROW HWY
UPLAND, CA 91786-4982
Phone number:
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