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1619526241
JAKE DAVID SOLOMON
LOS ANGELES, CA
NPI
1619526241
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-09-06
Last Update Date
2019-09-06
Business Address
JAKE DAVID SOLOMON
8831 VENICE BLVD
LOS ANGELES, CA 90034-3223
Phone number: 310-204-2500
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Mailing Address
JAKE DAVID SOLOMON
8831 VENICE BLVD
LOS ANGELES, CA 90034-3223
Phone number: 310-204-2500
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