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1346508892
SHAFIEK RAVON GADSON
CULVER CITY, CA
NPI
1346508892
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
225400000X Rehabilitation Practitioner
Enumeration Date
2012-05-02
Last Update Date
2014-04-18
Business Address
-- SHAFIEK RAVON GADSON
6666 GREEN VALLEY CIRCLE
CULVER CITY, CA 90230-2449
Phone number: 310-846-5270
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Mailing Address
-- SHAFIEK RAVON GADSON
6666 GREEN VALLEY CIR
CULVER CITY, CA 90230-7068
Phone number: 310-846-5270
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