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1386867729
KELLY RICHARD THOMPSON
CLOVIS, CA
NPI
1386867729
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 02-054242)
Enumeration Date
2007-04-11
Last Update Date
2007-07-08
Business Address
Mr. KELLY RICHARD THOMPSON CAARR
2169 ALLUVIAL AVE
CLOVIS, CA 93611-6633
Phone number: 559-297-1733
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Mailing Address
Mr. KELLY RICHARD THOMPSON CAARR
2169 ALLUVIAL AVE
CLOVIS, CA 93611-6633
Phone number: 559-297-1733
Copy
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