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Individual

GARNIK GARY GHAZARYAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
765 W COLLEGE ST, LOS ANGELES, CA 90012-1181
(213) 580-7200
Mailing address
11107 ARMINTA ST APT 7, SUN VALLEY, CA 91352-4473
(323) 491-0607

Taxonomy

Speciality
Code
Description
License number
State
132700000X
Dietary Manager
Primary

Other

Enumeration date
09/13/2016
Last updated
09/13/2016
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