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1417039579
JAMES OTIS RAY
FULLERTON, CA
NPI
1417039579
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 953245254)
Enumeration Date
2006-10-19
Last Update Date
2007-07-08
Business Address
Mr. JAMES OTIS RAY COUNSELOR
1060 S BROOKHURST RD
FULLERTON, CA 92833-3709
Phone number: 714-449-1339
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Mailing Address
Mr. JAMES OTIS RAY COUNSELOR
1060 S BROOKHURST RD
FULLERTON, CA 92833-3709
Phone number: 714-449-1339
Copy
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