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1033553250
BRUCE LANE GUYTON
STOCKTON, CA
NPI
1033553250
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2013-04-18
Last Update Date
2013-04-18
Business Address
-- BRUCE LANE GUYTON
501 S PERSHING AVE
STOCKTON, CA 95203-3236
Phone number: 209-513-5042
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Mailing Address
-- BRUCE LANE GUYTON
501 S PERSHING AVE
STOCKTON, CA 95203-3236
Phone number: 209-513-5042
Copy
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