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1467068791
MICHAEL HANSACK
PASADENA, CA
NPI
1467068791
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2020-09-22
Last Update Date
2020-09-22
Business Address
MICHAEL HANSACK
1680 N FAIR OAKS AVE
PASADENA, CA 91103-1642
Phone number: 626-798-0884
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Mailing Address
MICHAEL HANSACK
1680 N FAIR OAKS AVE
PASADENA, CA 91103-1642
Phone number:
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