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1225395791
IRVING LEE WATKINS
WOODLAND, CA
NPI
1225395791
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2012-04-20
Last Update Date
2012-04-20
Business Address
Mr. IRVING LEE WATKINS RAS Intern
435 ASPEN ST
WOODLAND, CA 95695-2665
Phone number: 530-662-5727
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Mailing Address
Mr. IRVING LEE WATKINS RAS Intern
435 ASPEN ST
WOODLAND, CA 95695-2665
Phone number: 530-662-5727
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