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1326809740
GERRIT DYKSTRA
LOS ANGELES, CA
NPI
1326809740
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2024-01-22
Last Update Date
2024-01-22
Business Address
GERRIT DYKSTRA
307 S CENTRAL AVE
LOS ANGELES, CA 90013-1709
Phone number: 213-372-5233
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Mailing Address
GERRIT DYKSTRA
12070 TELEGRAPH RD
SANTA FE SPRINGS, CA 90670-3771
Phone number: 562-777-7500
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