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1700570363
AUDRA NICOLE KOUROSMEHR
PASADENA, CA
NPI
1700570363
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2023-06-06
Last Update Date
2024-07-16
Business Address
AUDRA NICOLE KOUROSMEHR
1450 N LAKE AVE STE 150
PASADENA, CA 91104-2388
Phone number: 626-794-1161
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Mailing Address
AUDRA NICOLE KOUROSMEHR
1450 N LAKE AVE STE 150
PASADENA, CA 91104-2388
Phone number: 626-794-1161
Copy
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