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1124585542
RONALD LAURENCE SMITH
CHULA VISTA, CA
NPI
1124585542
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA cadtpr6869)
Enumeration Date
2019-02-21
Last Update Date
2019-02-21
Business Address
Mr. RONALD LAURENCE SMITH
73 N 2ND AVE
CHULA VISTA, CA 91910-1124
Phone number: 619-426-4801
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Mailing Address
Mr. RONALD LAURENCE SMITH
73 N 2ND AVE
CHULA VISTA, CA 91910-1124
Phone number: 619-426-4801
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