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1497004493
VINCENT IMHANFIDON AKHATOR
TARZANA, CA
NPI
1497004493
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA RI-A1209051213)
Enumeration Date
2012-09-05
Last Update Date
2018-12-21
Business Address
Mr. VINCENT IMHANFIDON AKHATOR
18646 OXNARD ST
TARZANA, CA 91356
Phone number: 818-996-1051
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Mailing Address
Mr. VINCENT IMHANFIDON AKHATOR
18646 OXNARD ST
TARZANA, CA 91356-1411
Phone number: 818-996-1051
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