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1386087732
GREGORY EDWARD WASHINGTON
FRESNO, CA
NPI
1386087732
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2013-04-15
Last Update Date
2013-04-15
Business Address
-- GREGORY EDWARD WASHINGTON
2409 MERCED ST # 106
FRESNO, CA 93721-1810
Phone number: 559-981-2795
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Mailing Address
-- GREGORY EDWARD WASHINGTON
2407 S HOLLY AVE
FRESNO, CA 93706-5038
Phone number: 559-573-4028
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