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1548683345
VELSANARD BEAVERS
LOS ANGELES, CA
NPI
1548683345
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2014-01-29
Last Update Date
2014-01-29
Business Address
-- VELSANARD BEAVERS
9118 S BROADWAY
LOS ANGELES, CA 90003-4040
Phone number: 323-757-1819
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Mailing Address
-- VELSANARD BEAVERS
1155 E 67TH ST
LOS ANGELES, CA 90001-1624
Phone number:
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