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1750873600
AUSTIN MARTIN LEE
SAN LUIS OBISPO, CA
NPI
1750873600
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-06-05
Last Update Date
2018-06-05
Business Address
AUSTIN MARTIN LEE
2180 JOHNSON AVE
SAN LUIS OBISPO, CA 93401-4558
Phone number: 805-781-4275
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Mailing Address
AUSTIN MARTIN LEE
608 HOWARD ST APT E
SAN LUIS OBISPO, CA 93401-2422
Phone number: 805-550-7900
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