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1497966881
ROBERT WILLIS
TARZANA, CA
NPI
1497966881
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA RW0303)
Enumeration Date
2007-05-25
Last Update Date
2007-07-08
Business Address
-- ROBERT WILLIS R.R.W.
19100 VENTURA BLVD SUITE 5
TARZANA, CA 91356-3239
Phone number: 818-654-2577
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Mailing Address
-- ROBERT WILLIS R.R.W.
19100 VENTURA BLVD SUITE 5
TARZANA, CA 91356-3239
Phone number: 818-654-2577
Copy
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