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1346086741
LEE ELDON BAIN
GARDEN GROVE, CA
NPI
1346086741
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2024-07-04
Last Update Date
2024-07-04
Business Address
LEE ELDON BAIN
12781 JOSEPHINE ST
GARDEN GROVE, CA 92841-4622
Phone number: 657-251-0503
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Mailing Address
LEE ELDON BAIN
16542 SILKTREE ST
FOUNTAIN VALLEY, CA 92708-2347
Phone number: 657-471-4142
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