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1295337608
SAMUEL DAVID MICHAEL
SANTA ANA, CA
NPI
1295337608
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1393270620)
Enumeration Date
2020-11-10
Last Update Date
2020-11-10
Business Address
Mr. SAMUEL DAVID MICHAEL RADT
1950 E 17TH ST STE 150
SANTA ANA, CA 92705-6852
Phone number: 714-547-4300
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Mailing Address
Mr. SAMUEL DAVID MICHAEL RADT
1950 E 17TH ST STE 150
SANTA ANA, CA 92705-6852
Phone number: 714-547-4300
Copy
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