RICHARD LINCOLN DONALD

MORRO BAY, CA
NPI1245918887
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101Y00000X Counselor
(Licence: CA  9619)
Additional Taxonomies101Y00000X Counselor
(Licence: CA  0985)
Enumeration Date2023-07-05
Last Update Date2023-07-05
Business Address
RICHARD LINCOLN DONALD RADT
2460 MAIN ST
MORRO BAY, CA 93442-1552
Phone number: 805-888-9619
Mailing Address
RICHARD LINCOLN DONALD RADT
2460 MAIN ST
MORRO BAY, CA 93442-1552
Phone number: 805-888-9619
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