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1477133031
YELIZAVETA KHOMCHENKO
LONG BEACH, CA
NPI
1477133031
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2021-04-08
Last Update Date
2021-04-08
Business Address
YELIZAVETA KHOMCHENKO
5190 ATLANTIC AVE
LONG BEACH, CA 90805-6510
Phone number: 562-428-4111
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Mailing Address
YELIZAVETA KHOMCHENKO
5190 ATLANTIC AVE
LONG BEACH, CA 90805-6510
Phone number:
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