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1861895583
PATRICE TYNES
INGLEWOOD, CA
NPI
1861895583
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2014-10-08
Last Update Date
2014-10-08
Business Address
-- PATRICE TYNES
1007 MYRTLE AVE
INGLEWOOD, CA 90301-4009
Phone number: 310-751-5344
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Mailing Address
-- PATRICE TYNES
4760 SEPULVEDA BLVD
CULVER CITY, CA 90230-4820
Phone number: 310-390-6612
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