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Individual

GUY WANGENSTEEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
131 N LYON ST, SANTA ANA, CA 92701-5121
(562) 921-0549
Mailing address
131 N LYON ST, SANTA ANA, CA 92701-5121

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
56878
CA

Other

Enumeration date
01/03/2012
Last updated
05/10/2012
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