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1245598861
JUSTIN LACSON
SAN MATEO, CA
NPI
1245598861
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2012-05-02
Last Update Date
2012-05-02
Business Address
-- JUSTIN LACSON
2251 PALM AVENUE
SAN MATEO, CA 94401
Phone number: 650-513-6500
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Mailing Address
-- JUSTIN LACSON
2251 PALM AVENUE
SAN MATEO, CA 94401
Phone number: 650-513-6500
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