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1932612843
ANTHONY CLINTON RAINES
LOS ANGELES, CA
NPI
1932612843
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2017-11-14
Last Update Date
2017-11-14
Business Address
ANTHONY CLINTON RAINES
515 E 6TH ST
LOS ANGELES, CA 90021-1009
Phone number: 213-689-2179
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Mailing Address
ANTHONY CLINTON RAINES
3440 W 84TH PL
INGLEWOOD, CA 90305-1642
Phone number: 424-222-3953
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