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1972221471
SEBASTIAN LANG
COLTON, CA
NPI
1972221471
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1416400121)
Enumeration Date
2022-08-19
Last Update Date
2022-12-19
Business Address
SEBASTIAN LANG
23950 PRADO LN
COLTON, CA 92324-9734
Phone number: 909-514-1958
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Mailing Address
SEBASTIAN LANG
23950 PRADO LN
COLTON, CA 92324-9734
Phone number: 909-514-1958
Copy
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