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1467708479
MICHAEL WAYNE CARPENTER
FRESNO, CA
NPI
1467708479
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2012-07-27
Last Update Date
2012-07-27
Business Address
-- MICHAEL WAYNE CARPENTER
3435 W SHAW SWEET 101
FRESNO, CA 93711
Phone number: 831-239-9455
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Mailing Address
-- MICHAEL WAYNE CARPENTER
3435 W SHAW SWEET 101
FRESNO, CA 93711
Phone number: 831-239-9455
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