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1346614559
LARRY DWAYNE CRAIG
SACRAMENTO, CA
NPI
1346614559
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2015-11-25
Last Update Date
2015-11-25
Business Address
-- LARRY DWAYNE CRAIG RAS
3201 FLORIN PERKINS RD
SACRAMENTO, CA 95826-3900
Phone number: 916-875-1171
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Mailing Address
-- LARRY DWAYNE CRAIG RAS
3201 FLORIN PERKINS RD
SACRAMENTO, CA 95826-3900
Phone number: 916-875-1171
Copy
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