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1124517503
DOUGLAS WADE PALMER
RIVERSIDE, CA
NPI
1124517503
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-05-01
Last Update Date
2018-05-01
Business Address
DOUGLAS WADE PALMER
17270 ROOSEVELT ST
RIVERSIDE, CA 92508-9523
Phone number: 951-683-6596
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Mailing Address
DOUGLAS WADE PALMER
17270 ROOSEVELT ST
RIVERSIDE, CA 92508-9523
Phone number: 951-683-6596
Copy
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