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1699243998
JUSTIN R INGLES
LONG BEACH, CA
NPI
1699243998
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2018-11-05
Last Update Date
2018-11-14
Business Address
MR. JUSTIN R INGLES RADT1
5190 ATLANTIC AVE
LONG BEACH, CA 90805-6510
Phone number: 562-428-4111
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Mailing Address
MR. JUSTIN R INGLES RADT1
1182 BRISTOL ST
COSTA MESA, CA 92626-8602
Phone number: 994-836-8779
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