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1902196496
IRIS YVETTE KNIGHTEN
GARDENA, CA
NPI
1902196496
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2011-04-18
Last Update Date
2011-04-18
Business Address
Ms. IRIS YVETTE KNIGHTEN 01-048495
16914 S. BERENDO AVE # B
GARDENA, CA 90247
Phone number: 424-646-0899
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Mailing Address
Ms. IRIS YVETTE KNIGHTEN 01-048495
16914 S BERENDO AVE # B
GARDENA, CA 90247-5516
Phone number: 424-646-0899
Copy
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