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1780177428
SHONTAE L GRAHAM
LOS ANGELES, CA
NPI
1780177428
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2018-06-07
Last Update Date
2018-06-07
Business Address
SHONTAE L GRAHAM CC, MSP
4261 SAN PEDRO PL
LOS ANGELES, CA 90011-2917
Phone number: 310-770-6749
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Mailing Address
SHONTAE L GRAHAM CC, MSP
4261 SAN PEDRO PL # 409
LOS ANGELES, CA 90011-2917
Phone number: 310-770-6749
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