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1720378946
ALLEN POURAVANES
LOS ANGELES, CA
NPI
1720378946
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163WP0808X Registered Nurse, Psych/Mental Health
(Licence: CA 587382)
Enumeration Date
2011-04-08
Last Update Date
2011-04-08
Business Address
-- ALLEN POURAVANES
529 MAPLE AVE
LOS ANGELES, CA 90013-1511
Phone number: 213-430-6283
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Mailing Address
-- ALLEN POURAVANES
529 MAPLE AVE
LOS ANGELES, CA 90013-1511
Phone number: 213-430-6283
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