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1265752109
LINDA JEAN BROADOUS-MILES
COMPTON, CA
NPI
1265752109
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2010-06-02
Last Update Date
2010-06-02
Business Address
Ms. LINDA JEAN BROADOUS-MILES
1701 W 138TH ST
COMPTON, CA 90222-3123
Phone number: 310-537-3166
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Mailing Address
Ms. LINDA JEAN BROADOUS-MILES
1701 W 138TH ST
COMPTON, CA 90222-3123
Phone number: 310-537-3166
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