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1396177952
JASON EDWARD HAUSEN
HUNTINGTON PARK, CA
NPI
1396177952
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2013-08-06
Last Update Date
2013-08-06
Business Address
-- JASON EDWARD HAUSEN
6208 SEVILLE AVE
HUNTINGTON PARK, CA 90255-2913
Phone number: 323-589-5886
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Mailing Address
-- JASON EDWARD HAUSEN
6208 SEVILLE AVE
HUNTINGTON PARK, CA 90255-2913
Phone number: 323-589-5886
Copy
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