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1861968323
VICKEN HAROUT BALIAN
SOUTH SAN FRANCISCO, CA
NPI
1861968323
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2018-10-22
Last Update Date
2018-10-22
Business Address
VICKEN HAROUT BALIAN
306 SPRUCE AVE
SOUTH SAN FRANCISCO, CA 94080-2741
Phone number: 650-589-9305
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Mailing Address
VICKEN HAROUT BALIAN
2000 SLOAT BLVD
SAN FRANCISCO, CA 94116-2824
Phone number: 650-690-4449
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