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1104477108
NATHAN GLEN KNOTT
ALISO VIEJO, CA
NPI
1104477108
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2019-09-23
Last Update Date
2019-09-23
Business Address
NATHAN GLEN KNOTT
5 MAREBLU
ALISO VIEJO, CA 92656-3014
Phone number: 949-643-6901
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Mailing Address
NATHAN GLEN KNOTT
5 MAREBLU
ALISO VIEJO, CA 92656-3014
Phone number: 949-643-6901
Copy
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