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1770003527
VERONICA GENTRY
LOS ANGELES, CA
NPI
1770003527
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 11568-R)
Enumeration Date
2017-06-22
Last Update Date
2017-06-22
Business Address
VERONICA GENTRY
4920 AVALON BLVD
LOS ANGELES, CA 90011-4004
Phone number: 323-235-5035
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Mailing Address
VERONICA GENTRY
4920 AVALON BLVD
LOS ANGELES, CA 90011-4004
Phone number:
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