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1255720611
AL WALLER
SANTA ANA, CA
NPI
1255720611
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2015-01-22
Last Update Date
2015-01-22
Business Address
-- AL WALLER
2215 N BROADWAY SUITE 200
SANTA ANA, CA 92706-2663
Phone number: 714-221-6400
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Mailing Address
-- AL WALLER
2215 N BROADWAY SUITE 200
SANTA ANA, CA 92706-2663
Phone number: 714-221-6400
Copy
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