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1811367055
COREY MICHAEL LACITINOLA
OROVILLE, CA
NPI
1811367055
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2015-09-30
Last Update Date
2015-09-30
Business Address
Mr. COREY MICHAEL LACITINOLA
2430 BIRD ST
OROVILLE, CA 95965-4908
Phone number: 530-538-7277
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Mailing Address
Mr. COREY MICHAEL LACITINOLA
2430 BIRD ST
OROVILLE, CA 95965-4908
Phone number: 530-538-7277
Copy
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