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1447563135
PHYLLIS RENEE HOLLINS
LOS ANGELES, CA
NPI
1447563135
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2010-07-22
Last Update Date
2010-07-22
Business Address
-- PHYLLIS RENEE HOLLINS
12203 MAPLE AVE
LOS ANGELES, CA 90061-2330
Phone number: 323-755-8934
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Mailing Address
-- PHYLLIS RENEE HOLLINS
12203 MAPLE AVE
LOS ANGELES, CA 90061-2330
Phone number: 323-755-8934
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