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1265822159
BIRUKTAIT ZEWDIE
LOS ANGELES, CA
NPI
1265822159
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R119200115)
Enumeration Date
2015-01-29
Last Update Date
2015-01-29
Business Address
-- BIRUKTAIT ZEWDIE
3756 SANTA ROSALIA DR STE 417
LOS ANGELES, CA 90008-3614
Phone number: 323-295-1136
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Mailing Address
-- BIRUKTAIT ZEWDIE
720 N EUCALYPTUS AVE
INGLEWOOD, CA 90302-3632
Phone number: 323-952-1995
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