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1932672219
TARA COOPER
LOS ANGELES, CA
NPI
1932672219
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-01-09
Last Update Date
2019-01-09
Business Address
TARA COOPER
801 W 70TH ST
LOS ANGELES, CA 90044-5218
Phone number: 323-242-5000
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Mailing Address
TARA COOPER
801 W 70TH ST
LOS ANGELES, CA 90044-5218
Phone number: 323-242-5000
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