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1073090023
IAN R NANKERVIS
LOS ANGELES, CA
NPI
1073090023
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-07-23
Last Update Date
2018-07-23
Business Address
IAN R NANKERVIS
333 S CENTRAL AVE
LOS ANGELES, CA 90013-1724
Phone number: 213-625-5009
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Mailing Address
IAN R NANKERVIS
333 S CENTRAL AVE
LOS ANGELES, CA 90013-1724
Phone number:
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