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1114312683
EVAN GORDON
WOODLAND HILLS, CA
NPI
1114312683
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA RS8309A)
Enumeration Date
2015-04-01
Last Update Date
2015-04-01
Business Address
-- EVAN GORDON
4900 SERRANIA AVE
WOODLAND HILLS, CA 91364-3301
Phone number: 818-347-1577
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Mailing Address
-- EVAN GORDON
4900 SERRANIA AVE
WOODLAND HILLS, CA 91364-3301
Phone number: 818-347-1577
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