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1376238147
LARRY LEE RAY
VISALIA, CA
NPI
1376238147
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 14653)
Enumeration Date
2023-04-07
Last Update Date
2023-04-07
Business Address
LARRY LEE RAY SUDCC
1845 S COURT ST
VISALIA, CA 93277-5423
Phone number: 559-732-5550
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Mailing Address
LARRY LEE RAY SUDCC
615 S ATWOOD ST
VISALIA, CA 93277-8302
Phone number: 559-732-5550
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