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1912195199
JOHN CALDERON
VAN NUYS, CA
NPI
1912195199
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-10-12
Last Update Date
2007-10-12
Business Address
-- JOHN CALDERON
14332 VICTORY BLVD
VAN NUYS, CA 91401-1944
Phone number: 818-989-1996
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Mailing Address
-- JOHN CALDERON
14642 RUNNYMEDE ST
VAN NUYS, CA 91405-1911
Phone number: 818-989-1996
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