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1043332109
LAWRENCE D MANGIAPANE
VICTORVILLE, CA
NPI
1043332109
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2007-04-06
Last Update Date
2007-07-08
Business Address
LAWRENCE D MANGIAPANE
15770 MOJAVE DR SUITE L
VICTORVILLE, CA 92394-1934
Phone number: 760-843-7809
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Mailing Address
LAWRENCE D MANGIAPANE
15770 MOJAVE DR SUITE L
VICTORVILLE, CA 92394-1934
Phone number: 760-843-7809
Copy
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