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1588114292
JOHN C FABIAN
LOS ANGELES, CA
NPI
1588114292
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1240941016)
Enumeration Date
2016-10-05
Last Update Date
2016-10-05
Business Address
Mr. JOHN C FABIAN
900 AVILA ST
LOS ANGELES, CA 90012-4287
Phone number: 213-229-0985
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Mailing Address
Mr. JOHN C FABIAN
900 AVILA ST
LOS ANGELES, CA 90012-4287
Phone number: 213-229-0985
Copy
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