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1306185244
DANIEL KING
RIVERSIDE, CA
NPI
1306185244
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2013-02-13
Last Update Date
2013-02-13
Business Address
DANIEL KING
3757 ELIZABETH ST
RIVERSIDE, CA 92506-2508
Phone number: 951-684-2813
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Mailing Address
DANIEL KING
PO BOX 549
LAKE ELSINORE, CA 92531-0549
Phone number: 951-294-5879
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