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1508213588
YARI MEITA FANUSIE
PACOIMA, CA
NPI
1508213588
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2016-05-19
Last Update Date
2016-05-19
Business Address
-- YARI MEITA FANUSIE
11643 GLENOAKS BLVD.
PACOIMA, CA 91331
Phone number: 818-897-2609
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Mailing Address
-- YARI MEITA FANUSIE
4760 S. SEPULVEDA BLVD.
CULVER CITY, CA 90230
Phone number: 310-390-6612
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