LARRY DONELL ERVIN

CHICO, CA
NPI1114198009
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2008-03-18
Last Update Date2008-03-18
Business Address
-- LARRY DONELL ERVIN
592 RIO LINDO AVE
CHICO, CA 95926-1817
Phone number: 530-891-2775
Mailing Address
-- LARRY DONELL ERVIN
808 W 2ND AVE APT 12
CHICO, CA 95926-4468
Phone number: 530-894-3603
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