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1447828306
RONALD ROY STACY
CHULA VISTA, CA
NPI
1447828306
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 13841-rac)
Enumeration Date
2021-06-16
Last Update Date
2022-02-17
Business Address
RONALD ROY STACY 13841-rac
73 N 2ND AVE STE B
CHULA VISTA, CA 91910-1124
Phone number: 619-426-4801
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Mailing Address
RONALD ROY STACY 13841-rac
73 N 2ND AVE STE B
CHULA VISTA, CA 91910-1124
Phone number: 619-426-4801
Copy
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