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1457544116
STANLEY IVAN THOMAS
SANTA MARIA, CA
NPI
1457544116
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-08-24
Last Update Date
2007-08-24
Business Address
Mr. STANLEY IVAN THOMAS
731 S LINCOLN ST
SANTA MARIA, CA 93458-6107
Phone number: 805-346-8185
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Mailing Address
Mr. STANLEY IVAN THOMAS
731 S LINCOLN ST
SANTA MARIA, CA 93458-6107
Phone number: 805-346-8185
Copy
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