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1396591830
OHAGI SHAEED WALLACE
LOS ANGELES, CA
NPI
1396591830
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: RADT-R1515000723)
Enumeration Date
2024-04-25
Last Update Date
2024-04-25
Business Address
OHAGI SHAEED WALLACE
1045 E 20TH ST
LOS ANGELES, CA 90011-1107
Phone number: 213-205-8221
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Mailing Address
OHAGI SHAEED WALLACE
1045 E 20TH ST
LOS ANGELES, CA 90011-1107
Phone number: 213-205-8221
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