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1710002076
SEAN ROBERT MINTZ
LANCASTER, CA
NPI
1710002076
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-03-19
Last Update Date
2007-07-08
Business Address
Mr. SEAN ROBERT MINTZ MA
907 W LANCASTER BLVD
LANCASTER, CA 93534-2305
Phone number: 661-726-2630
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Mailing Address
Mr. SEAN ROBERT MINTZ MA
907 W LANCASTER BLVD
LANCASTER, CA 93534-2305
Phone number: 661-726-2630
Copy
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