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1235958026
QUMANI SOLOMON STAFFORD
SANTA MONICA, CA
NPI
1235958026
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2024-10-08
Last Update Date
2024-10-08
Business Address
QUMANI SOLOMON STAFFORD
844 PICO BLVD
SANTA MONICA, CA 90405-1325
Phone number: 310-314-6200
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Mailing Address
QUMANI SOLOMON STAFFORD
14086 LEMOLI WAY
HAWTHORNE, CA 90250-8859
Phone number: 424-768-1914
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