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1871778365
EDWIN IVAN RIVERA
VAN NUYS, CA
NPI
1871778365
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225400000X Rehabilitation Practitioner
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2008-01-03
Last Update Date
2018-06-19
Business Address
Mr. EDWIN IVAN RIVERA B.A., MA
6501 VAN NUYS BLVD STE 103
VAN NUYS, CA 91401
Phone number: 818-902-5315
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Mailing Address
Mr. EDWIN IVAN RIVERA B.A., MA
6501 VAN NUYS BLVD STE 103
VAN NUYS, CA 91401-1425
Phone number: 818-902-5315
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