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1609092717
HENDRIK LUTE SCHANSTRA
PLACERVILLE, CA
NPI
1609092717
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA A3606291)
Enumeration Date
2007-04-17
Last Update Date
2007-07-08
Business Address
Mr. HENDRIK LUTE SCHANSTRA
2808 MALLARD LN STE B
PLACERVILLE, CA 95667-8770
Phone number: 530-621-5112
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Mailing Address
Mr. HENDRIK LUTE SCHANSTRA
2700 VALLEY VIEW APT.725
EL DORADO HILLS, CA 95762
Phone number: 916-221-2709
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