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1265944847
ANDREW JACOB PARKER
LOS ANGELES, CA
NPI
1265944847
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2017-11-03
Last Update Date
2017-11-03
Business Address
ANDREW JACOB PARKER
5675 W OLYMPIC BLVD
LOS ANGELES, CA 90036-4712
Phone number: 323-965-1365
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Mailing Address
ANDREW JACOB PARKER
5675 W OLYMPIC BLVD
LOS ANGELES, CA 90036-4712
Phone number:
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