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1063064434
ISRAEL EMMANUEL EL'SHADDAI
SYLMAR, CA
NPI
1063064434
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CA E1026634)
Enumeration Date
2019-07-15
Last Update Date
2019-07-15
Business Address
MR. ISRAEL EMMANUEL EL'SHADDAI
11600 ELDRIDGE AVE
SYLMAR, CA 91342-6506
Phone number: 818-686-3000
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Mailing Address
MR. ISRAEL EMMANUEL EL'SHADDAI
15232 FOOTHILL BLVD UNIT 132
SYLMAR, CA 91342-8366
Phone number: 424-279-7027
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