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1992127237
NIDIA SANJOSE
LOS ANGELES, CA
NPI
1992127237
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 90524)
Enumeration Date
2014-01-06
Last Update Date
2019-12-11
Business Address
NIDIA SANJOSE
333 S BEAUDRY AVE
LOS ANGELES, CA 90017-1466
Phone number: 213-241-3841
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Mailing Address
NIDIA SANJOSE
333 S BEAUDRY AVE
LOS ANGELES, CA 90017-1466
Phone number:
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