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1386326775
LARRY CHRISTOPHER GRAHAM
ANTIOCH, CA
NPI
1386326775
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2023-08-03
Last Update Date
2023-08-29
Business Address
LARRY CHRISTOPHER GRAHAM
911 W 7TH ST
ANTIOCH, CA 94509-1550
Phone number: 760-406-3242
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Mailing Address
LARRY CHRISTOPHER GRAHAM
911 W 7TH ST
ANTIOCH, CA 94509-1550
Phone number: 760-406-3242
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