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1912416785
DONALD LAND
HAWTHORNE, CA
NPI
1912416785
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 12432-R)
Enumeration Date
2017-09-25
Last Update Date
2017-09-25
Business Address
Mr. DONALD LAND SUD counselor
2501 W EL SEGUNDO BLVD
HAWTHORNE, CA 90250-3317
Phone number: 323-754-2816
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Mailing Address
Mr. DONALD LAND SUD counselor
2501 W EL SEGUNDO BLVD
HAWTHORNE, CA 90250-3317
Phone number: 323-754-2816
Copy
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