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1265012686
DEDE PRISCILLA DE GRAZIA
LOS ANGELES, CA
NPI
1265012686
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2021-04-09
Last Update Date
2022-11-16
Business Address
DEDE PRISCILLA DE GRAZIA
360 S WESTLAKE AVE
LOS ANGELES, CA 90057-2906
Phone number: 213-483-9201
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Mailing Address
DEDE PRISCILLA DE GRAZIA
360 S WESTLAKE AVE
LOS ANGELES, CA 90057-2906
Phone number: 213-483-9201
Copy
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