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1124247630
DOMINIC LEWIS METOYER
LONG BEACH, CA
NPI
1124247630
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 190077AHN)
Enumeration Date
2007-04-24
Last Update Date
2007-07-08
Business Address
-- DOMINIC LEWIS METOYER RRW
3125 E 7TH ST
LONG BEACH, CA 90804-4932
Phone number: 562-439-7755
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Mailing Address
-- DOMINIC LEWIS METOYER RRW
3125 E 7TH ST
LONG BEACH, CA 90804-4932
Phone number: 562-439-7755
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