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1265074512
IRAN THOMPSON
SANTA FE SPRINGS, CA
NPI
1265074512
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2019-10-08
Last Update Date
2019-10-08
Business Address
IRAN THOMPSON
10425 PAINTER AVE
SANTA FE SPRINGS, CA 90670-3429
Phone number: 562-906-2685
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Mailing Address
IRAN THOMPSON
10425 PAINTER AVE
SANTA FE SPRINGS, CA 90670-3429
Phone number: 562-906-2685
Copy
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