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1487779187
NUCION AVENT
LANCASTER, CA
NPI
1487779187
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA RA848704)
Enumeration Date
2007-03-20
Last Update Date
2007-07-08
Business Address
-- NUCION AVENT CADC II
10 STREET WEST AND LANCASTER BLVD
LANCASTER, CA 93534
Phone number: 661-726-2630
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Mailing Address
-- NUCION AVENT CADC II
20TH STREET EAST AND AVENUE K
LANCASTER, CA 93535
Phone number:
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