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1063877546
LARRY RICHARD RUIZ
WAILUKU, HI
NPI
1063877546
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: HI 1233-05)
Enumeration Date
2015-12-28
Last Update Date
2015-12-28
Business Address
-- LARRY RICHARD RUIZ CSAC
1787 WILI PA LOOP STE 7
WAILUKU, HI 96793-1271
Phone number: 808-283-0737
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Mailing Address
-- LARRY RICHARD RUIZ CSAC
PO BOX 81690
HAIKU, HI 96708-1690
Phone number: 808-283-0737
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