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1952604605
ELADIO RUBALCAVA
LOS ANGELES, CA
NPI
1952604605
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2010-12-17
Last Update Date
2011-02-09
Business Address
-- ELADIO RUBALCAVA
3125 N BROADWAY
LOS ANGELES, CA 90031
Phone number: 323-222-4591
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Mailing Address
-- ELADIO RUBALCAVA
3513 OPAL ST.
LOS ANGELES, CA 90023
Phone number: 323-222-4591
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