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1932882123
SERGIO EDUARDO GODINEZ
LONG BEACH, CA
NPI
1932882123
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
175T00000X Peer Specialist
(Licence: CA MPSS-QGDXLJ)
Enumeration Date
2023-08-14
Last Update Date
2023-08-14
Business Address
SERGIO EDUARDO GODINEZ
2101 MAGNOLIA AVE
LONG BEACH, CA 90806-4521
Phone number: 562-218-1868
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Mailing Address
SERGIO EDUARDO GODINEZ
9708 PARK ST APT C
BELLFLOWER, CA 90706-5887
Phone number: 562-743-3931
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