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1902316755
DAGOBERTO FUENTES
LOS ANGELES, CA
NPI
1902316755
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 88009)
Enumeration Date
2017-10-06
Last Update Date
2019-08-28
Business Address
DAGOBERTO FUENTES
3800 S FIGUEROA ST
LOS ANGELES, CA 90037-1206
Phone number: 323-233-0425
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Mailing Address
DAGOBERTO FUENTES
4211 AVALON BLVD
LOS ANGELES, CA 90011-5622
Phone number: 323-233-0425
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