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1508420753
SAMUEL LEE GRAY
CONCORD, CA
NPI
1508420753
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1299260318)
Enumeration Date
2019-04-23
Last Update Date
2019-04-23
Business Address
SAMUEL LEE GRAY radt
2090 COMMERCE AVE
CONCORD, CA 94520-4902
Phone number: 925-676-2580
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Mailing Address
SAMUEL LEE GRAY radt
2090 COMMERCE AVE
CONCORD, CA 94520-4902
Phone number: 925-676-2580
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