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1255147310
ELEXUS LAYTERION GREENE
FAIRFIELD, CA
NPI
1255147310
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1584231024)
Enumeration Date
2024-12-04
Last Update Date
2024-12-04
Business Address
ELEXUS LAYTERION GREENE RAD-T
1095 E TABOR AVE APT B
FAIRFIELD, CA 94533-4190
Phone number: 707-718-4872
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Mailing Address
ELEXUS LAYTERION GREENE RAD-T
609 JEFFERSON ST STE B
FAIRFIELD, CA 94533-6228
Phone number: 707-718-4872
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