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1235674896
GARY LAWRENCE
SAN BERNARDINO, CA
NPI
1235674896
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2017-01-05
Last Update Date
2017-01-05
Business Address
-- GARY LAWRENCE
1100 N D ST
SAN BERNARDINO, CA 92410-3524
Phone number: 909-381-3774
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Mailing Address
-- GARY LAWRENCE
1100 N D ST
SAN BERNARDINO, CA 92410-3524
Phone number: 909-381-3774
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