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1912226093
GABRIEL A CARRILLO
LOS ANGELES, CA
NPI
1912226093
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CA RW3120)
Enumeration Date
2010-05-27
Last Update Date
2010-10-26
Business Address
GABRIEL A CARRILLO
4099 N MISSION RD
LOS ANGELES, CA 90032-2554
Phone number: 323-221-1746
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Mailing Address
GABRIEL A CARRILLO
4099 N MISSION RD
LOS ANGELES, CA 90032-2554
Phone number: 323-221-1746
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