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1447974449
EDGAR ALBERTOVICH KHACHATRYAN
GLENDALE, CA
NPI
1447974449
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
3104A0625X Assisted Living Facility, Assisted Living, Mental Illness
Enumeration Date
2022-10-03
Last Update Date
2022-10-03
Business Address
EDGAR ALBERTOVICH KHACHATRYAN
1227 CAMPBELL ST
GLENDALE, CA 91207-1445
Phone number: 747-228-4111
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Mailing Address
EDGAR ALBERTOVICH KHACHATRYAN
1227 CAMPBELL ST
GLENDALE, CA 91207-1445
Phone number: 747-228-4111
Copy
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