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1124395371
JALISHA PATRICE EVANS
LOS ANGELES, CA
NPI
1124395371
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2011-11-16
Last Update Date
2011-11-16
Business Address
-- JALISHA PATRICE EVANS
5723 WHITTIER BLVD
LOS ANGELES, CA 90022-4222
Phone number: 323-721-6855
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Mailing Address
-- JALISHA PATRICE EVANS
5723 WHITTIER BLVD
LOS ANGELES, CA 90022-4222
Phone number: 323-721-6855
Copy
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