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1023733284
QAYYUM ABDULMALIK
LOS ANGELES, CA
NPI
1023733284
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2022-10-10
Last Update Date
2022-10-10
Business Address
QAYYUM ABDULMALIK
4445 BURNS AVE
LOS ANGELES, CA 90029-2702
Phone number: 323-222-1440
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Mailing Address
QAYYUM ABDULMALIK
4445 BURNS AVE
LOS ANGELES, CA 90029-2702
Phone number: 323-222-1440
Copy
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