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Organization

KLEAN START, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RUDOLPH WASHINGTON MPA (EXECUTIVE DIRECTOR)
(310) 751-0821
Entity
Organization

Contact information

Practice address
2606 N CENTRAL AVE, COMPTON, CA 90222-1640
(310) 751-0821
Mailing address
3545 W LUTHER LN, INGLEWOOD, CA 90305-1886
(310) 337-1292

Taxonomy

Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
197483
DRUG MEDICAL
CA
Enumeration date
03/29/2012
Last updated
03/29/2012
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