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1861699720
SANDRA SANDOVAL
LOS ANGELES, CA
NPI
1861699720
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-07-02
Last Update Date
2007-07-08
Business Address
-- SANDRA SANDOVAL
1704 W MANCHESTER AVE
LOS ANGELES, CA 90047-3034
Phone number: 323-752-9723
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Mailing Address
-- SANDRA SANDOVAL
1302 W 130TH ST
COMPTON, CA 90222-1920
Phone number: 310-715-9266
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