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1356635700
ALEN TADEVOSYAN
BURBANK, CA
NPI
1356635700
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA T1004070820)
Enumeration Date
2011-06-02
Last Update Date
2015-03-06
Business Address
-- ALEN TADEVOSYAN RAS
1020 N HOLLYWOOD WAY STE 13
BURBANK, CA 91505-2525
Phone number: 818-929-5757
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Mailing Address
-- ALEN TADEVOSYAN RAS
2415 N LINCOLN ST
BURBANK, CA 91504-2628
Phone number: 818-929-5757
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