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1043588635
AVA BERNICE MOODY
LOS ANGELES, CA
NPI
1043588635
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2011-12-09
Last Update Date
2011-12-09
Business Address
-- AVA BERNICE MOODY
724 E 95TH ST
LOS ANGELES, CA 90002-1915
Phone number: 323-590-6190
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Mailing Address
-- AVA BERNICE MOODY
724 E 95TH ST
LOS ANGELES, CA 90002-1915
Phone number: 323-590-6190
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