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1477228666
SUSANNA MANIKYAN
PASADENA, CA
NPI
1477228666
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2021-08-10
Last Update Date
2021-08-10
Business Address
SUSANNA MANIKYAN RADT
160 N EL MOLINO AVE
PASADENA, CA 91101-1805
Phone number: 626-792-2770
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Mailing Address
SUSANNA MANIKYAN RADT
160 N EL MOLINO AVE
PASADENA, CA 91101-1805
Phone number: 626-808-3709
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