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1912509621
MARIO M OLIVARES
LOS ANGELES, CA
NPI
1912509621
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2020-11-09
Last Update Date
2020-11-09
Business Address
MARIO M OLIVARES
225 N MARIPOSA AVE
LOS ANGELES, CA 90004-4509
Phone number: 213-736-5441
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Mailing Address
MARIO M OLIVARES
225 N MARIPOSA AVE
LOS ANGELES, CA 90004-4509
Phone number: 213-736-5441
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