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1700054806
THERON LEON CHILES
LOS ANGELES, CA
NPI
1700054806
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2008-02-12
Last Update Date
2016-07-12
Business Address
-- THERON LEON CHILES
9100 S SEPULVEDA BLVD SUITE 105
LOS ANGELES, CA 90045-4814
Phone number: 310-644-3659
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Mailing Address
-- THERON LEON CHILES
9100 S SEPULVEDA BLVD SUITE 105
LOS ANGELES, CA 90045-4814
Phone number: 310-644-3659
Copy
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