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1568765725
KHALILAH TANTER
LONG BEACH, CA
NPI
1568765725
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 10642)
Enumeration Date
2010-12-09
Last Update Date
2010-12-09
Business Address
Miss KHALILAH TANTER R.R.W.
4801 E ANAHEIM ST
LONG BEACH, CA 90804-3210
Phone number: 562-597-5300
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Mailing Address
Miss KHALILAH TANTER R.R.W.
4801 E ANAHEIM ST
LONG BEACH, CA 90804-3210
Phone number: 562-597-5300
Copy
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