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1992268973
MARIA GUADALUPE BROAD
LOS ANGELES, CA
NPI
1992268973
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-04-08
Last Update Date
2019-04-08
Business Address
MARIA GUADALUPE BROAD
1926 BEVERLY BLVD
LOS ANGELES, CA 90057-2402
Phone number: 213-353-1140
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Mailing Address
MARIA GUADALUPE BROAD
4701 PINE ST
PICO RIVERA, CA 90660-2263
Phone number: 562-203-9314
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