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1316440977
JOHNNY LEE BURNAM
LOS ANGELES, CA
NPI
1316440977
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-03-09
Last Update Date
2018-03-09
Business Address
JOHNNY LEE BURNAM
1319 S MANHATTAN PL
LOS ANGELES, CA 90019-4702
Phone number: 323-734-1143
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Mailing Address
JOHNNY LEE BURNAM
1319 S MANHATTAN PL
LOS ANGELES, CA 90019-4702
Phone number: 323-734-1143
Copy
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