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1134317829
ABDUL ISLAM
COMPTON, CA
NPI
1134317829
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 0510111352)
Enumeration Date
2007-10-09
Last Update Date
2007-10-09
Business Address
-- ABDUL ISLAM
3209 N ALAMEDA ST STE B
COMPTON, CA 90222-1455
Phone number: 310-537-2273
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Mailing Address
-- ABDUL ISLAM
3209 N ALAMEDA ST STE B
COMPTON, CA 90222-1455
Phone number: 310-537-2273
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