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1326267303
DIANTA REYNOLDS
LOS ANGELES, CA
NPI
1326267303
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 7030)
Enumeration Date
2007-04-25
Last Update Date
2007-07-08
Business Address
-- DIANTA REYNOLDS
7868 S WESTERN AVE
LOS ANGELES, CA 90047-2756
Phone number: 323-752-4700
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Mailing Address
-- DIANTA REYNOLDS
9314 S BROADWAY
LOS ANGELES, CA 90003-4044
Phone number:
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