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1063620532
MOHAMMAD FARROKH EMAD
RESEDA, CA
NPI
1063620532
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2007-05-18
Last Update Date
2007-07-08
Business Address
MOHAMMAD FARROKH EMAD
7232 CAMBY ST
RESEDA, CA 91335
Phone number: 818-705-5561
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Mailing Address
MOHAMMAD FARROKH EMAD
7232 CAMBY ST
RESEDA, CA 91335
Phone number: 818-705-5561
Copy
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