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1265118400
BERRY GORDON DENTON
LOS ANGELES, CA
NPI
1265118400
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2023-06-23
Last Update Date
2023-06-23
Business Address
Mr. BERRY GORDON DENTON SUDRC
515 E 6TH ST FL 9
LOS ANGELES, CA 90021-1009
Phone number: 213-529-0963
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Mailing Address
Mr. BERRY GORDON DENTON SUDRC
1075 JUNIPERO AVE APT 301
LONG BEACH, CA 90804-5702
Phone number: 562-762-0722
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