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1114127297
QUAISON WILEY
LOS ANGELES, CA
NPI
1114127297
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-07-18
Last Update Date
2007-07-18
Business Address
-- QUAISON WILEY
5310 S HOOVER ST
LOS ANGELES, CA 90037-3734
Phone number: 323-235-2517
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Mailing Address
-- QUAISON WILEY
4628 S VERMONT AVE APT 3
LOS ANGELES, CA 90037-2965
Phone number:
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