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1992914485
MAURICE K HOLMES
GARDENA, CA
NPI
1992914485
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-05-21
Last Update Date
2007-07-08
Business Address
Mr. MAURICE K HOLMES
17800 S MAIN ST
GARDENA, CA 90248-3500
Phone number: 310-532-1320
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Mailing Address
Mr. MAURICE K HOLMES
1658 W 67TH ST
LOS ANGELES, CA 90047-1917
Phone number: 323-750-5714
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