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1235253667
NATHAN CHARLES FASSNACHT
CAMARILLO, CA
NPI
1235253667
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2007-03-19
Last Update Date
2007-07-08
Business Address
Mr. NATHAN CHARLES FASSNACHT
975 FLYNN RD
CAMARILLO, CA 93012-8704
Phone number: 805-388-7740
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Mailing Address
Mr. NATHAN CHARLES FASSNACHT
975 FLYNN RD
CAMARILLO, CA 93012-8704
Phone number: 805-388-7740
Copy
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