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1205693454
KIM LEO SYLVEST
LOS ANGELES, CA
NPI
1205693454
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 15744)
Enumeration Date
2024-03-04
Last Update Date
2024-03-04
Business Address
Mr. KIM LEO SYLVEST SUDCC
1701 ZONAL AVE
LOS ANGELES, CA 90033-1065
Phone number: 323-223-6298
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Mailing Address
Mr. KIM LEO SYLVEST SUDCC
12241 ARROWHEAD ST APT 46
STANTON, CA 90680-3868
Phone number: 630-780-9264
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