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1780153551
IAN C SMITH
ORANGE, CA
NPI
1780153551
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-11-21
Last Update Date
2018-11-21
Business Address
Mr. IAN C SMITH
705 W LA VETA AVE
ORANGE, CA 92868-4402
Phone number: 714-532-9295
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Mailing Address
Mr. IAN C SMITH
4388 KATELLA AVE
LOS ALAMITOS, CA 90720-3565
Phone number:
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