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1194111419
MALCHIAH ANDREAS HEADS
RIVERSIDE, CA
NPI
1194111419
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2015-04-14
Last Update Date
2015-04-14
Business Address
-- MALCHIAH ANDREAS HEADS
17270 ROOSEVELT ST
RIVERSIDE, CA 92508-9523
Phone number: 951-780-2541
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Mailing Address
-- MALCHIAH ANDREAS HEADS
17270 ROOSEVELT ST
RIVERSIDE, CA 92508-9523
Phone number: 951-780-2541
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