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1275167744
MILES ROBERTS
SAN RAFAEL, CA
NPI
1275167744
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2020-02-24
Last Update Date
2020-02-28
Business Address
MILES ROBERTS
1601 2ND ST STE 104
SAN RAFAEL, CA 94901-2701
Phone number: 415-456-6655
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Mailing Address
MILES ROBERTS
959 34TH ST
OAKLAND, CA 94608-4211
Phone number:
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