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Individual

ANI GRIGORIAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2650 JONES WAY, SUITE 10, SIMI VALLEY, CA 93065
(805) 522-1844
Mailing address
5407 COLFAX PLAZA #106, NORTH HOLLYWOOD, CA 91601
(818) 636-5696

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
04/07/2009
Last updated
04/07/2009
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