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1043944614
INDYNESIA COOPER
LOS ANGELES, CA
NPI
1043944614
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2022-07-11
Last Update Date
2022-07-28
Business Address
INDYNESIA COOPER
5318 CRENSHAW BLVD
LOS ANGELES, CA 90043-1810
Phone number: 323-579-3305
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Mailing Address
INDYNESIA COOPER
5318 CRENSHAW BLVD
LOS ANGELES, CA 90043-1810
Phone number: 323-579-3305
Copy
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