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1205600616
AHMAD SHAHROKH
ANAHEIM, CA
NPI
1205600616
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1516980823)
Enumeration Date
2023-11-07
Last Update Date
2023-11-07
Business Address
AHMAD SHAHROKH
710 N ANAHEIM BLVD
ANAHEIM, CA 92805-2651
Phone number: 714-776-7490
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Mailing Address
AHMAD SHAHROKH
710 N ANAHEIM BLVD
ANAHEIM, CA 92805-2651
Phone number: 714-776-7490
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