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1265697650
SERVONTE EPHRIAM
LOS ANGELES, CA
NPI
1265697650
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2008-07-24
Last Update Date
2008-07-24
Business Address
-- SERVONTE EPHRIAM COUNSELOR
1030 W FLORENCE AVE
LOS ANGELES, CA 90044-2442
Phone number: 323-750-7580
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Mailing Address
-- SERVONTE EPHRIAM COUNSELOR
1030 W FLORENCE AVE
LOS ANGELES, CA 90044-2442
Phone number: 323-750-7580
Copy
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