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1104274422
IAN SEABOLT
HESPERIA, CA
NPI
1104274422
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2016-05-26
Last Update Date
2016-05-26
Business Address
-- IAN SEABOLT
7939 OXFORD AVE
HESPERIA, CA 92345-7037
Phone number: 760-648-3308
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Mailing Address
-- IAN SEABOLT
7939 OXFORD AVE
HESPERIA, CA 92345-7037
Phone number: 760-648-3308
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