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1184188401
CREIGHTON MASON BLUE
LOS ANGELES, CA
NPI
1184188401
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2019-01-31
Last Update Date
2019-01-31
Business Address
CREIGHTON MASON BLUE
11301 WILSHIRE BLVD
LOS ANGELES, CA 90073-1003
Phone number: 310-268-3396
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Mailing Address
CREIGHTON MASON BLUE
11301 WILSHIRE BLVD
LOS ANGELES, CA 90073-1003
Phone number: 310-268-3396
Copy
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