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1225393242
CHANTA S RUSH
CARSON, CA
NPI
1225393242
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2012-07-05
Last Update Date
2012-07-05
Business Address
Mrs. CHANTA S RUSH
460 E CARSON PLAZA DR SUITE 106
CARSON, CA 90746-3228
Phone number: 310-532-6030
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Mailing Address
Mrs. CHANTA S RUSH
8930 PAINTER AVE APT 129
WHITTIER, CA 90602-3568
Phone number: 562-513-8906
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