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1912243007
ROBERTO SOSA SANDOVAL
RESEDA, CA
NPI
1912243007
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2012-12-18
Last Update Date
2012-12-18
Business Address
-- ROBERTO SOSA SANDOVAL
18553 ARMINTA ST
RESEDA, CA 91335-1834
Phone number: 818-342-5897
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Mailing Address
-- ROBERTO SOSA SANDOVAL
18553 ARMINTA ST
RESEDA, CA 91335-1834
Phone number: 818-342-5897
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