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1932889953
GONZALO CHACON LOPEZ
CULVER CITY, CA
NPI
1932889953
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163WP0808X Registered Nurse, Psych/Mental Health
(Licence: CA 95233009)
Enumeration Date
2023-07-24
Last Update Date
2023-07-24
Business Address
GONZALO CHACON LOPEZ
9808 VENICE BLVD STE 505
CULVER CITY, CA 90232-6818
Phone number: 310-945-3350
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Mailing Address
GONZALO CHACON LOPEZ
9808 VENICE BLVD STE 505
CULVER CITY, CA 90232-6818
Phone number: 310-945-3350
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