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1912169533
NINO KAPANADZE
CANOGA PARK, CA
NPI
1912169533
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2008-06-25
Last Update Date
2008-06-25
Business Address
-- NINO KAPANADZE
22030 SHERMAN WAY STE 115
CANOGA PARK, CA 91303-1889
Phone number: 818-340-0230
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Mailing Address
-- NINO KAPANADZE
5725 RESEDA BLVD APT 6
TARZANA, CA 91356-2210
Phone number:
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