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1124391669
SERGE PETROSIAN
LOS ANGELES, CA
NPI
1124391669
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA a7121111)
Enumeration Date
2012-02-14
Last Update Date
2012-02-14
Business Address
-- SERGE PETROSIAN CADC II
5930 S MAIN ST SUITE 104
LOS ANGELES, CA 90003-1201
Phone number: 818-551-0026
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Mailing Address
-- SERGE PETROSIAN CADC II
619 E ELMWOOD AVE APT. O
BURBANK, CA 91501-2587
Phone number: 818-804-6520
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