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1467736017
MACEDONIO FRAUSTO
LANCASTER, CA
NPI
1467736017
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2011-09-30
Last Update Date
2022-07-21
Business Address
-- MACEDONIO FRAUSTO
44447 10TH ST W
LANCASTER, CA 93534-3324
Phone number: 661-726-2630
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Mailing Address
-- MACEDONIO FRAUSTO
44447 10TH ST W
LANCASTER, CA 93534-3324
Phone number: 661-726-2630
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