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1649571746
MICHAEL LASTRA
RICHMOND, CA
NPI
1649571746
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Other Name
MICHAEL LASTRA
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2010-11-05
Last Update Date
2010-11-05
Business Address
-- MICHAEL LASTRA
4505 TAFT AVE 4505 TAFT AVE.
RICHMOND, CA 94804-3449
Phone number: 510-235-3172
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Mailing Address
-- MICHAEL LASTRA
4505 TAFT AVE 4505 TAFT AVE.
RICHMOND, CA 94804-3449
Phone number: 510-235-3172
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