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1730489725
JEFFREY R FAIRCHILD
LOS ANGELES, CA
NPI
1730489725
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2010-10-25
Last Update Date
2010-10-25
Business Address
Mr. JEFFREY R FAIRCHILD ACADC
4715 CRENSHAW BLVD
LOS ANGELES, CA 90043-1233
Phone number: 323-988-3744
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Mailing Address
Mr. JEFFREY R FAIRCHILD ACADC
909 N INGLEWOOD AVE APT 2
INGLEWOOD, CA 90302-3735
Phone number: 424-227-2289
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