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1205410495
PAUL LONGACRE
SANTA ANA, CA
NPI
1205410495
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2021-05-12
Last Update Date
2021-05-12
Business Address
PAUL LONGACRE radt
2117 N EASTWOOD AVE
SANTA ANA, CA 92705-7009
Phone number: 714-809-5807
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Mailing Address
PAUL LONGACRE radt
2117 N EASTWOOD AVE
SANTA ANA, CA 92705-7009
Phone number: 714-809-5807
Copy
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