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1720132509
KEVIN ROBERT FOSS
VAN NUYS, CA
NPI
1720132509
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: CA 58141)
Enumeration Date
2007-01-22
Last Update Date
2011-02-16
Business Address
KEVIN ROBERT FOSS
14411 VANOWEN ST
VAN NUYS, CA 91405-4038
Phone number: 818-989-7475
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Mailing Address
KEVIN ROBERT FOSS
14411 VANOWEN ST
VAN NUYS, CA 91405-4038
Phone number: 818-989-7475
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