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1164823068
ANDRW MOON
LOS ANGELES, CA
NPI
1164823068
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2014-09-10
Last Update Date
2014-09-10
Business Address
-- ANDRW MOON
1730 W OLYMPIC BLVD # 3A-300
LOS ANGELES, CA 90015-1019
Phone number: 213-249-9388
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Mailing Address
-- ANDRW MOON
1730 W OLYMPIC BLVD # 3A-300
LOS ANGELES, CA 90015-1019
Phone number: 213-249-9388
Copy
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