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1033610365
MEDHANKARA THERO GALKULAME
FULLERTON, CA
NPI
1033610365
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 13944)
Enumeration Date
2018-02-22
Last Update Date
2023-08-11
Business Address
MEDHANKARA THERO GALKULAME
771 W ORANGETHORPE AVE
FULLERTON, CA 92832-2806
Phone number: 714-879-0929
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Mailing Address
MEDHANKARA THERO GALKULAME
2780 W LINCOLN AVE
ANAHEIM, CA 92801-6333
Phone number: 714-864-7908
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