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1154871176
KURTIS COULTER
LOS ANGELES, CA
NPI
1154871176
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2016-10-13
Last Update Date
2016-10-13
Business Address
-- KURTIS COULTER
333 S CENTRAL AVE
LOS ANGELES, CA 90013-1724
Phone number: 213-625-5009
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Mailing Address
-- KURTIS COULTER
11239 MILOANN ST
ARCADIA, CA 91006-5936
Phone number:
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