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1689067894
STAN CARL PERRYMAN
VENICE, CA
NPI
1689067894
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: CA p1402231454)
Enumeration Date
2015-03-12
Last Update Date
2015-03-12
Business Address
-- STAN CARL PERRYMAN AOD counselor
717 LINCOLN BLVD
VENICE, CA 90291-2845
Phone number: 310-399-9883
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Mailing Address
-- STAN CARL PERRYMAN AOD counselor
717 LINCOLN BLVD
VENICE, CA 90291-2845
Phone number: 310-399-9883
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