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1346980380
JON DAVID WEIGAND
LOS ANGELES, CA
NPI
1346980380
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2022-03-29
Last Update Date
2022-03-29
Business Address
JON DAVID WEIGAND
5675 W OLYMPIC BLVD
LOS ANGELES, CA 90036-4712
Phone number: 323-965-1365
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Mailing Address
JON DAVID WEIGAND
5675 WEST OLYMPIC BLVD.
LOS ANGELES, CA 90036
Phone number: 323-965-1365
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