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1225557267
ERIC EDWARD LOFSTRAND
SANTA MARIA, CA
NPI
1225557267
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 12130-R)
Enumeration Date
2017-09-11
Last Update Date
2017-09-11
Business Address
ERIC EDWARD LOFSTRAND
1214 S MILLER ST STE 11
SANTA MARIA, CA 93454
Phone number: 805-739-1512
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Mailing Address
ERIC EDWARD LOFSTRAND
1414 S MILLER ST
SANTA MARIA, CA 93454-6923
Phone number: 805-739-1512
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