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1053027995
CHARLES EARL ABERNATHYBETTIS
GRASS VALLEY, CA
NPI
1053027995
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2023-01-24
Last Update Date
2023-01-24
Business Address
MR. CHARLES EARL ABERNATHYBETTIS
256 BUENA VISTA ST STE 100
GRASS VALLEY, CA 95945-7239
Phone number: 530-274-2000
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Mailing Address
MR. CHARLES EARL ABERNATHYBETTIS
256 BUENA VISTA ST STE 100
GRASS VALLEY, CA 95945-7239
Phone number: 530-274-2000
Copy
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