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1992337117
SELBIE SALONGA
GARDENA, CA
NPI
1992337117
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1354060719)
Enumeration Date
2020-02-05
Last Update Date
2020-02-05
Business Address
SELBIE SALONGA R1354060719
13931 VAN NESS AVE
GARDENA, CA 90249-2941
Phone number: 310-768-8018
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Mailing Address
SELBIE SALONGA R1354060719
13931 VAN NESS AVE
GARDENA, CA 90249-2941
Phone number: 310-768-8018
Copy
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