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1861116857
CLINTON LANE
WOODLAND HILLS, CA
NPI
1861116857
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2022-10-03
Last Update Date
2022-10-03
Business Address
CLINTON LANE
6022 VARIEL AVE
WOODLAND HILLS, CA 91367-3719
Phone number: 323-712-2497
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Mailing Address
CLINTON LANE
6022 VARIEL AVE
WOODLAND HILLS, CA 91367-3719
Phone number: 323-712-2497
Copy
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