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1043934078
CORY BARNES
VENICE, CA
NPI
1043934078
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 14275-RAC)
Enumeration Date
2022-10-03
Last Update Date
2022-10-03
Business Address
CORY BARNES RADT
503 OCEAN FRONT WALK
VENICE, CA 90291-2403
Phone number: 310-392-3070
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Mailing Address
CORY BARNES RADT
3526 E AVENUE Q6
PALMDALE, CA 93550-4361
Phone number: 661-365-7085
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