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1013567635
MICHAEL PETER LAVIGNE
ORANGE, CA
NPI
1013567635
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-09-16
Last Update Date
2020-07-10
Business Address
MICHAEL PETER LAVIGNE
705 W LA VETA AVE STE 208
ORANGE, CA 92868-4448
Phone number: 714-532-9295
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Mailing Address
MICHAEL PETER LAVIGNE
705 W LA VETA AVE STE 208
ORANGE, CA 92868-4448
Phone number: 714-532-9295
Copy
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