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1710721170
JUSTIN DEAN MILLER
WEST HOLLYWOOD, CA
NPI
1710721170
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
324500000X Substance Abuse Rehabilitation Facility
(Licence: CA 15148)
Enumeration Date
2024-06-20
Last Update Date
2024-06-20
Business Address
JUSTIN DEAN MILLER SUDRC# 15148
7235 SANTA MONICA BLVD
WEST HOLLYWOOD, CA 90046-6724
Phone number: 213-669-2560
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Mailing Address
JUSTIN DEAN MILLER SUDRC# 15148
7235 SANTA MONICA BLVD
WEST HOLLYWOOD, CA 90046-6724
Phone number: 213-669-2560
Copy
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