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1992522247
MILAN QUISHINA JOHNIGARN
LOS ANGELES, CA
NPI
1992522247
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1486991122)
Enumeration Date
2024-09-26
Last Update Date
2024-09-26
Business Address
MILAN QUISHINA JOHNIGARN
2116 S CENTRAL AVE
LOS ANGELES, CA 90011-1237
Phone number: 213-493-4664
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Mailing Address
MILAN QUISHINA JOHNIGARN
PO BOX 4262
RIVERSIDE, CA 92514-4262
Phone number: 951-368-7165
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