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1114597648
NORMAN P IVORY
LOS ANGELES, CA
NPI
1114597648
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2021-06-28
Last Update Date
2021-06-28
Business Address
NORMAN P IVORY
155 BIMINI PL
LOS ANGELES, CA 90004-5902
Phone number: 213-388-5423
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Mailing Address
NORMAN P IVORY
155 BIMINI PL
LOS ANGELES, CA 90004-5902
Phone number:
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