INNA PHOENIX GORE

RESEDA, CA
NPI1316273196
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2009-10-28
Last Update Date2009-10-28
Business Address
-- INNA PHOENIX GORE
19231 VICTORY BLVD 554
RESEDA, CA 91335-6308
Phone number: 818-776-1755
Mailing Address
-- INNA PHOENIX GORE
18930 SHERMAN WAY 17
RESEDA, CA 91335-7738
Phone number: 323-633-8610
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