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1013130269
WAYNE LEE BILLINGSLY
STOCKTON, CA
NPI
1013130269
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-04-10
Last Update Date
2007-07-08
Business Address
Mr. WAYNE LEE BILLINGSLY
346 E ARCADE ST
STOCKTON, CA 95204-3706
Phone number: 209-981-7094
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Mailing Address
Mr. WAYNE LEE BILLINGSLY
346 E ARCADE ST
STOCKTON, CA 95204-3706
Phone number: 209-981-7094
Copy
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