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1740939107
LARRY CONNELL
SANTA FE SPRINGS, CA
NPI
1740939107
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2022-03-22
Last Update Date
2022-03-22
Business Address
LARRY CONNELL
11015 BLOOMFIELD AVE
SANTA FE SPRINGS, CA 90670-4601
Phone number: 562-906-2676
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Mailing Address
LARRY CONNELL
11015 BLOOMFIELD AVE
SANTA FE SPRINGS, CA 90670-4601
Phone number: 562-906-2676
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