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1750761912
DIANE OSTLUND
PHOENIX, AZ
NPI
1750761912
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: AZ 13364)
Enumeration Date
2015-06-03
Last Update Date
2015-06-03
Business Address
-- DIANE OSTLUND
3450 N 3RD ST
PHOENIX, AZ 85012-2331
Phone number: 602-257-9339
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Mailing Address
-- DIANE OSTLUND
1424 S 7TH AVE BLDG C
PHOENIX, AZ 85007-3902
Phone number: 602-258-3600
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