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1740989276
MICHAEL SAMUEL OESTERBLAD
LOS ANGELES, CA
NPI
1740989276
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2023-02-23
Last Update Date
2023-02-23
Business Address
MICHAEL SAMUEL OESTERBLAD
5675 W OLYMPIC BLVD
LOS ANGELES, CA 90036-4712
Phone number: 323-965-1365
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Mailing Address
MICHAEL SAMUEL OESTERBLAD
5675 W OLYMPIC BLVD
LOS ANGELES, CA 90036-4712
Phone number: 323-965-1365
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