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1831369131
JONATHAN L PRUETT
LOS ANGELES, CA
NPI
1831369131
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2008-03-04
Last Update Date
2008-03-04
Business Address
Mr. JONATHAN L PRUETT
2301 BELLEVUE AVE
LOS ANGELES, CA 90026-4017
Phone number: 213-239-3548
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Mailing Address
Mr. JONATHAN L PRUETT
2301 BELLEVUE AVE
LOS ANGELES, CA 90026-4017
Phone number: 213-239-3548
Copy
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