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1811711039
RAE MICHAEL NOLAN
LOS ANGELES, CA
NPI
1811711039
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2024-11-13
Last Update Date
2024-11-13
Business Address
RAE MICHAEL NOLAN
1926 BEVERLY BLVD
LOS ANGELES, CA 90057-2402
Phone number: 213-722-4217
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Mailing Address
RAE MICHAEL NOLAN
3125 E 7TH ST
LONG BEACH, CA 90804-4932
Phone number: 562-509-8688
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