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1346429610
PETER STARKS
LOS ANGELES, CA
NPI
1346429610
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-11-02
Last Update Date
2007-11-02
Business Address
-- PETER STARKS
1704 W MANCHESTER AVE STE 209
LOS ANGELES, CA 90047-3057
Phone number: 323-752-9723
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Mailing Address
-- PETER STARKS
4914 RODEO RD APT 1
LOS ANGELES, CA 90016-4736
Phone number:
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