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1851914949
JEREMY FAIN
TARZANA, CA
NPI
1851914949
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2020-05-22
Last Update Date
2020-05-22
Business Address
JEREMY FAIN
18700 OXNARD ST
TARZANA, CA 91356-1413
Phone number: 818-654-3950
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Mailing Address
JEREMY FAIN
21821 BURBANK BLVD UNIT 1
WOODLAND HILLS, CA 91367-6465
Phone number: 818-922-4931
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