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1932376076
OSWALDO MEDINA
CANOGA PARK, CA
NPI
1932376076
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2008-05-08
Last Update Date
2008-05-08
Business Address
-- OSWALDO MEDINA
7247 OWENSMOUTH AVE
CANOGA PARK, CA 91303-1530
Phone number: 818-593-4581
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Mailing Address
-- OSWALDO MEDINA
19151 SCHOENBORN ST
NORTHRIDGE, CA 91324-4247
Phone number: 818-854-0547
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