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1043679202
CRAIG BLACKSTON
TORRANCE, CA
NPI
1043679202
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2016-02-16
Last Update Date
2016-02-16
Business Address
CRAIG BLACKSTON
1334 POST AVE
TORRANCE, CA 90501-2620
Phone number: 310-328-1460
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Mailing Address
CRAIG BLACKSTON
1334 POST AVE
TORRANCE, CA 90501-2620
Phone number: 310-328-1460
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