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1013494525
KALVIN SMALL
LYNWOOD, CA
NPI
1013494525
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-07-26
Last Update Date
2018-07-26
Business Address
KALVIN SMALL
11705 DEPUTY YAMAMOTO PL
LYNWOOD, CA 90262-4031
Phone number: 323-242-5000
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Mailing Address
KALVIN SMALL
11705 DEPUTY YAMAMOTO PL
LYNWOOD, CA 90262-4031
Phone number: 323-242-5000
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