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1912750100
MARCOS RODRIGUEZ
SAN FERNANDO, CA
NPI
1912750100
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1528160923)
Enumeration Date
2024-04-08
Last Update Date
2024-04-08
Business Address
MARCOS RODRIGUEZ
762 GRISWOLD AVE
SAN FERNANDO, CA 91340-2105
Phone number: 747-500-9405
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Mailing Address
MARCOS RODRIGUEZ
2847 CINCINNATI ST
LOS ANGELES, CA 90033-3117
Phone number: 323-910-6058
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