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1922495761
KRYSTAL LEWIS
TARZANA, CA
NPI
1922495761
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2015-04-20
Last Update Date
2015-04-20
Business Address
-- KRYSTAL LEWIS
18646 OXNARD ST
TARZANA, CA 91356-1411
Phone number: 818-996-1051
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Mailing Address
-- KRYSTAL LEWIS
18646 OXNARD ST
TARZANA, CA 91356-1411
Phone number: 818-996-1051
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