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1215188230
JIMMY LEE SCALES
CANOGA PARK, CA
NPI
1215188230
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2008-10-08
Last Update Date
2008-10-08
Business Address
-- JIMMY LEE SCALES
22030 SHERMAN WAY STE 115
CANOGA PARK, CA 91303-1889
Phone number: 818-340-0230
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Mailing Address
-- JIMMY LEE SCALES
523 SAN JULIAN ST
LOS ANGELES, CA 90013-1512
Phone number:
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