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1376212290
LAWRENCE ROSS KIVETT
SAN DIEGO, CA
NPI
1376212290
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2021-09-13
Last Update Date
2021-09-13
Business Address
LAWRENCE ROSS KIVETT RADT
4141 PACIFIC HWY
SAN DIEGO, CA 92110-2030
Phone number: 619-393-2000
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Mailing Address
LAWRENCE ROSS KIVETT RADT
4141 PACIFIC HWY
SAN DIEGO, CA 92110-2030
Phone number: 619-393-2000
Copy
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