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1255535738
ELMER DAVID TYREE
HESPERIA, CA
NPI
1255535738
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-06-11
Last Update Date
2007-07-08
Business Address
Mr. ELMER DAVID TYREE
11959 MARIPOSA RD
HESPERIA, CA 92345-1637
Phone number: 760-956-2462
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Mailing Address
Mr. ELMER DAVID TYREE
14343 DUKE CT
ADELANTO, CA 92301-3738
Phone number: 951-520-5844
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