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1922259761
NADEZHDA KOKSHAROVA
LOS ANGELES, CA
NPI
1922259761
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2008-10-09
Last Update Date
2008-10-09
Business Address
-- NADEZHDA KOKSHAROVA
5436 S BROADWAY
LOS ANGELES, CA 90037-4126
Phone number: 323-234-6265
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Mailing Address
-- NADEZHDA KOKSHAROVA
5436 S BROADWAY
LOS ANGELES, CA 90037-4126
Phone number: 323-234-6265
Copy
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