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1225523491
NATHAN ANDERSON
SANTA ANA, CA
NPI
1225523491
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1222240116)
Enumeration Date
2018-06-28
Last Update Date
2018-06-28
Business Address
NATHAN ANDERSON
1207 E FRUIT ST
SANTA ANA, CA 92701-4206
Phone number: 704-953-9373
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Mailing Address
NATHAN ANDERSON
1207 E FRUIT ST
SANTA ANA, CA 92701-4206
Phone number: 714-953-9373
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