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1831815638
GLENN FUSTER
LOS ANGELES, CA
NPI
1831815638
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2022-10-13
Last Update Date
2022-10-13
Business Address
GLENN FUSTER
2307 W 6TH ST
LOS ANGELES, CA 90057-3119
Phone number: 213-351-2800
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Mailing Address
GLENN FUSTER
2307 W 6TH ST
LOS ANGELES, CA 90057-3119
Phone number: 213-351-2800
Copy
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