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1386462984
KEVIN PHILLIP LASTING
LOS ANGELES, CA
NPI
1386462984
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 150173)
Enumeration Date
2024-10-01
Last Update Date
2024-10-01
Business Address
KEVIN PHILLIP LASTING AMFT
3200 MOTOR AVE
LOS ANGELES, CA 90034-3710
Phone number: 310-836-1223
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Mailing Address
KEVIN PHILLIP LASTING AMFT
3200 MOTOR AVE
LOS ANGELES, CA 90034-3710
Phone number: 310-836-1223
Copy
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