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1528316080
NATHANIEL RAY ROUSE
BERKELEY, CA
NPI
1528316080
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2012-08-15
Last Update Date
2012-08-15
Business Address
-- NATHANIEL RAY ROUSE
1931 CENTER ST
BERKELEY, CA 94704-1105
Phone number: 510-666-9552
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Mailing Address
-- NATHANIEL RAY ROUSE
1931 CENTER ST
BERKELEY, CA 94704-1105
Phone number: 510-666-9552
Copy
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