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1386972305
OLLIE BRENT
INGLEWOOD, CA
NPI
1386972305
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2009-12-02
Last Update Date
2009-12-02
Business Address
-- OLLIE BRENT
9633 CRENSHAW BLVD
INGLEWOOD, CA 90305-3156
Phone number: 310-482-1824
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Mailing Address
-- OLLIE BRENT
9633 CRENSHAW BLVD
INGLEWOOD, CA 90305-3156
Phone number: 310-482-1824
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