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1215421474
ILIYA LEIBMAN
SHERMAN OAKS, CA
NPI
1215421474
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-06-20
Last Update Date
2018-06-20
Business Address
ILIYA LEIBMAN
4940 VAN NUYS BLVD # 201
SHERMAN OAKS, CA 91403-1700
Phone number: 818-985-0560
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Mailing Address
ILIYA LEIBMAN
8397 FOUNTAIN AVE APT 206
LOS ANGELES, CA 90069-2936
Phone number: 213-925-6210
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