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1205147618
LAVELL SANDERS
ALTADENA, CA
NPI
1205147618
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2010-06-30
Last Update Date
2014-10-23
Business Address
-- LAVELL SANDERS
760 MOUNTAIN VIEW ST
ALTADENA, CA 91001-4925
Phone number: 626-798-6793
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Mailing Address
-- LAVELL SANDERS
760 MOUNTAIN VIEW ST
ALTADENA, CA 91001-4925
Phone number:
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