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1447322177
PHANNARY LOR
LONG BEACH, CA
NPI
1447322177
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2006-11-15
Last Update Date
2007-07-08
Business Address
-- PHANNARY LOR
740 GARDENIA AVE
LONG BEACH, CA 90813-5120
Phone number: 562-682-7503
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Mailing Address
-- PHANNARY LOR
PO BOX 4941
LONG BEACH, CA 90804-0941
Phone number: 562-682-7503
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