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1285801944
LARRY GEORGE ALBERT
ANTIOCH, CA
NPI
1285801944
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA RO113520)
Enumeration Date
2008-05-13
Last Update Date
2008-05-13
Business Address
-- LARRY GEORGE ALBERT CAS II
1408 A ST
ANTIOCH, CA 94509-2331
Phone number: 925-978-2873
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Mailing Address
-- LARRY GEORGE ALBERT CAS II
1408 A ST
ANTIOCH, CA 94509-2331
Phone number: 925-978-2873
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