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1174279525
ISRAEL GIDION FRANK
LOS ANGELES, CA
NPI
1174279525
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 12847)
Enumeration Date
2022-02-24
Last Update Date
2022-03-01
Business Address
ISRAEL GIDION FRANK SUDRC # 12847
5318 CRENSHAW BLVD
LOS ANGELES, CA 90043-1810
Phone number: 323-293-6291
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Mailing Address
ISRAEL GIDION FRANK SUDRC # 12847
5318 S CRENSHAW BLVD
LOS ANGELES, CA 90043
Phone number: 415-849-5657
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