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1841772209
ICHIZO YAMADA
LOS ANGELES, CA
NPI
1841772209
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA Ci06680117)
Enumeration Date
2018-09-02
Last Update Date
2018-09-02
Business Address
ICHIZO YAMADA
5318 S CRENSHAW BLVD.
LOS ANGELES, CA 90043
Phone number: 323-293-6291
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Mailing Address
ICHIZO YAMADA
5318 S CRENSHAW BLVD.
LOS ANGELES, CA 90043
Phone number: 323-293-6291
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