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1104360940
JONATHAN KACHURKA
SANTA MONICA, CA
NPI
1104360940
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2016-12-13
Last Update Date
2016-12-28
Business Address
-- JONATHAN KACHURKA
1002 PICO BLVD
SANTA MONICA, CA 90405-1416
Phone number: 310-314-6200
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Mailing Address
-- JONATHAN KACHURKA
1002 PICO BLVD
SANTA MONICA, CA 90405-1416
Phone number:
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