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1922304351
EDWIN ZELADA
LONG BEACH, CA
NPI
1922304351
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
324500000X Substance Abuse Rehabilitation Facility
(Licence: CA RI-Z1012201538)
Enumeration Date
2011-02-02
Last Update Date
2011-02-02
Business Address
Mr. EDWIN ZELADA
1601 E 10TH ST
LONG BEACH, CA 90813-5035
Phone number: 562-590-9010
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Mailing Address
Mr. EDWIN ZELADA
1601 E 10TH ST
LONG BEACH, CA 90813-5035
Phone number: 562-590-9010
Copy
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