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1235501255
DWIGHT CARTER
PACOIMA, CA
NPI
1235501255
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2015-10-29
Last Update Date
2023-07-05
Business Address
DWIGHT CARTER
12450 VAN NUYS BLVD 200
PACOIMA, CA 91331-1391
Phone number: 818-896-1161
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Mailing Address
DWIGHT CARTER
12450 VAN NUYS BLVD 200
PACOIMA, CA 91331-1391
Phone number: 818-896-1161
Copy
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