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1013125038
TEZARRAY BANKS
LOS ANGELES, CA
NPI
1013125038
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-05-21
Last Update Date
2007-07-08
Business Address
-- TEZARRAY BANKS
3741 STOCKER ST STE 210
LOS ANGELES, CA 90008-5109
Phone number: 323-298-5651
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Mailing Address
-- TEZARRAY BANKS
6744 ORIZABA AVE APT 3
LONG BEACH, CA 90805-1946
Phone number: 562-972-7033
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