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1356121313
ASHCON ALEXANDER BASTANI
TRABUCO CANYON, CA
NPI
1356121313
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2023-10-05
Last Update Date
2023-10-05
Business Address
ASHCON ALEXANDER BASTANI RADT
20302 FLANAGAN ROAD
TRABUCO CANYON, CA 92679
Phone number: 818-582-8832
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Mailing Address
ASHCON ALEXANDER BASTANI RADT
24131 PUERTA DE LUZ
MISSION VIEJO, CA 92691-4331
Phone number: 949-584-8010
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