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1144463001
JUSTINNA LANG TAING
COSTA MESA, CA
NPI
1144463001
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2009-04-08
Last Update Date
2009-04-08
Business Address
-- JUSTINNA LANG TAING
2300 FAIRVIEW RD APT P102
COSTA MESA, CA 92626-6483
Phone number: 562-397-6199
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Mailing Address
-- JUSTINNA LANG TAING
2300 FAIRVIEW RD APT P102
COSTA MESA, CA 92626-6483
Phone number: 562-397-6199
Copy
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