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1972010551
ALEX HASTAIN
SACRAMENTO, CA
NPI
1972010551
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-01-04
Last Update Date
2018-01-04
Business Address
ALEX HASTAIN
9738 LINCOLN VILLAGE DR
SACRAMENTO, CA 95827-3378
Phone number: 916-714-5400
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Mailing Address
ALEX HASTAIN
9738 LINCOLN VILLAGE DR
SACRAMENTO, CA 95827-3378
Phone number:
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