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1275960098
ANTOINE JOSEPH GRACE
LOS ANGELES, CA
NPI
1275960098
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2013-10-11
Last Update Date
2018-03-17
Business Address
ANTOINE JOSEPH GRACE
470 E 3RD ST STE C
LOS ANGELES, CA 90013-1630
Phone number: 213-620-5712
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Mailing Address
ANTOINE JOSEPH GRACE
470 E 3RD ST STE C
LOS ANGELES, CA 90013-1630
Phone number: 213-620-5712
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