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1235954215
SAM ANTHONY BAUMGARTEN
LOS ANGELES, CA
NPI
1235954215
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2024-11-15
Last Update Date
2024-11-15
Business Address
Mr. SAM ANTHONY BAUMGARTEN
8831 VENICE BLVD
LOS ANGELES, CA 90034-3223
Phone number: 310-729-1545
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Mailing Address
Mr. SAM ANTHONY BAUMGARTEN
8831 VENICE BLVD
LOS ANGELES, CA 90034-3223
Phone number: 310-729-1545
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