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1295115095
STEPHEN DYLLON REEDER
INDIO, CA
NPI
1295115095
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 01-124703)
Enumeration Date
2015-06-05
Last Update Date
2015-06-05
Business Address
-- STEPHEN DYLLON REEDER
45550 GRACE ST
INDIO, CA 92201-4610
Phone number: 760-342-1233
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Mailing Address
-- STEPHEN DYLLON REEDER
45550 GRACE ST
INDIO, CA 92201-4610
Phone number: 760-342-1233
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