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1396271144
ERIC LESTER
GRASS VALLEY, CA
NPI
1396271144
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CA R1234110716)
Enumeration Date
2017-05-11
Last Update Date
2017-05-11
Business Address
ERIC LESTER RADT
180 SIERRA COLLEGE DR
GRASS VALLEY, CA 95945-5768
Phone number: 530-273-9541
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Mailing Address
ERIC LESTER RADT
180 SIERRA COLLEGE DR
GRASS VALLEY, CA 95945-5768
Phone number: 530-273-9541
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