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1093164543
LATHAM INGERSOLL
OXNARD, CA
NPI
1093164543
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2016-06-06
Last Update Date
2016-06-06
Business Address
-- LATHAM INGERSOLL
2055 SAVIERS RD
OXNARD, CA 93033-3608
Phone number: 805-483-2253
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Mailing Address
-- LATHAM INGERSOLL
2055 SAVIERS RD
OXNARD, CA 93033-3608
Phone number: 805-483-2253
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