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1992411417
GOR AVAGYAN
SANTA ANA, CA
NPI
1992411417
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 16032-RAC)
Enumeration Date
2023-01-27
Last Update Date
2023-03-20
Business Address
GOR AVAGYAN
1207 E FRUIT ST
SANTA ANA, CA 92701-4296
Phone number: 714-312-7519
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Mailing Address
GOR AVAGYAN
415 BIRMINGHAM RD
BURBANK, CA 91504-3908
Phone number:
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