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1629287305
LASUPO LADIPO
SANTA ANA, CA
NPI
1629287305
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-05-21
Last Update Date
2007-07-08
Business Address
Mr. LASUPO LADIPO BA, RRW
2101 E 1ST ST
SANTA ANA, CA 92705-4007
Phone number: 714-542-3581
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Mailing Address
Mr. LASUPO LADIPO BA, RRW
7439 LA PALMA AVE # 504
BUENA PARK, CA 90620-2655
Phone number: 714-234-5561
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