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1700211984
THE SOURCE HEALTH AND WELLNESS TREATMENT CENTER
LOS ANGELES, CA
NPI
1700211984
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Entity Type
Organization
Authorized Contact
JASON LEVINE
President And Executive Director
310-477-8140
Organization Subpart ?
No
Primary Taxonomy
251S00000X
Enumeration Date
2013-09-06
Last Update Date
2013-09-06
Business Address
THE SOURCE HEALTH AND WELLNESS TREATMENT CENTER
11150 W OLYMPIC BLVD STE 760
LOS ANGELES, CA 90064-1817
Phone number: 310-477-8140
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Mailing Address
THE SOURCE HEALTH AND WELLNESS TREATMENT CENTER
11150 W OLYMPIC BLVD STE 760
LOS ANGELES, CA 90064-1817
Phone number: 310-477-8140
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