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1891005708
JASON DAMAVANDI
LOS ANGELES, CA
NPI
1891005708
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2010-10-13
Last Update Date
2010-10-13
Business Address
-- JASON DAMAVANDI
5015 W PICO BLVD
LOS ANGELES, CA 90019-4127
Phone number: 323-653-1677
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Mailing Address
-- JASON DAMAVANDI
26460 SUMMIT CIR
SANTA CLARITA, CA 91350-2991
Phone number:
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