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1174808943
WILLIAM LIGHTNING
VAN NUYS, CA
NPI
1174808943
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2011-10-12
Last Update Date
2011-10-12
Business Address
-- WILLIAM LIGHTNING
14435 HAMLIN ST 102
VAN NUYS, CA 91401-6205
Phone number: 818-997-1930
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Mailing Address
-- WILLIAM LIGHTNING
14435 HAMLIN ST 102
VAN NUYS, CA 91401-6205
Phone number: 818-997-1930
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