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1285191973
JACK TAGLYAN
LOS ANGELES, CA
NPI
1285191973
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-02-28
Last Update Date
2019-02-28
Business Address
Mr. JACK TAGLYAN
5322 FOUNTAIN AVE
LOS ANGELES, CA 90029-1005
Phone number: 323-251-4490
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Mailing Address
Mr. JACK TAGLYAN
5240 LOS DIEGOS WAY
LOS ANGELES, CA 90027-1016
Phone number:
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