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1467119537
DAVID J MANILA
LOS ANGELES, CA
NPI
1467119537
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1423030321)
Enumeration Date
2021-11-23
Last Update Date
2021-12-02
Business Address
DAVID J MANILA RADT 1
360 S WESTLAKE AVE
LOS ANGELES, CA 90057-2906
Phone number: 213-483-9201
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Mailing Address
DAVID J MANILA RADT 1
360 S WESTLAKE AVE
LOS ANGELES, CA 90057-2906
Phone number: 213-483-9201
Copy
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