Institute of Advanced Therapy
Restricted
Institute of Advanced Therapy is subject to Restricted. See the individual lists below.
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Aliases
- Gipson Jr., Buford
- Van Keahey, Jade T.
- Kirk, Archie J.
Address
2222 West Manchester Blvd., Ste. D , Inglewood, CA
ID Details
ID NUMBER : CMM70421F
ID TYPE : provider_number
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Institute of Advanced Therapy Sanctioned By Below Authority
| List Name | List Authority | Effective Date ▼ | Status |
|---|---|---|---|
| The California Department of Health Care Services | Apr 17, 1996 | active |
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