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1851580179
LARRY SODERSTROM
OXNARD, CA
NPI
1851580179
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-10-23
Last Update Date
2010-04-05
Business Address
-- LARRY SODERSTROM
2055 SAVIERS RD., #10
OXNARD, CA 93033
Phone number: 805-483-2253
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Mailing Address
-- LARRY SODERSTROM
7246 REMMET AVE
CANOGA PARK, CA 91303-1531
Phone number: 818-206-0360
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