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1821247214
NOVI MIRANDA
LONG BEACH, CA
NPI
1821247214
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2008-09-10
Last Update Date
2008-09-10
Business Address
-- NOVI MIRANDA
2511 LONG BEACH BLVD
LONG BEACH, CA 90806-3111
Phone number: 562-981-1501
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Mailing Address
-- NOVI MIRANDA
2511 LONG BEACH BLVD
LONG BEACH, CA 90806-3111
Phone number: 562-981-1501
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