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1922641430
MARK FERNANDEZ
LOS ANGELES, CA
NPI
1922641430
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-10-28
Last Update Date
2019-10-28
Business Address
MARK FERNANDEZ
1926 BEVERLY BLVD
LOS ANGELES, CA 90057-2402
Phone number: 213-353-1140
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Mailing Address
MARK FERNANDEZ
1926 BEVERLY BLVD
LOS ANGELES, CA 90057-2402
Phone number: 213-353-1140
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