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1083056048
ROGER WAYNE WARREN
FRESNO, CA
NPI
1083056048
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2013-07-19
Last Update Date
2013-07-19
Business Address
-- ROGER WAYNE WARREN
7175 NORTH FIRST STREET SUITE101
FRESNO, CA 93720
Phone number: 559-221-8100
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Mailing Address
-- ROGER WAYNE WARREN
7175 N. FIRST STREET SUITE101
FRESNO, CA 93720
Phone number: 559-221-8100
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