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1174642235
WANDA NELSON
RESEDA, CA
NPI
1174642235
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-03-28
Last Update Date
2007-07-08
Business Address
-- WANDA NELSON
19231 VICTORY BLVD SUITE 554
RESEDA, CA 91335-6308
Phone number: 818-776-1755
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Mailing Address
-- WANDA NELSON
19231 VICTORY BLVD SUITE 554
RESEDA, CA 91335-6308
Phone number:
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