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1528721248
JOSEPH RYAN GAYLOR
GALT, CA
NPI
1528721248
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2021-10-19
Last Update Date
2021-10-19
Business Address
JOSEPH RYAN GAYLOR
750 SPAANS DR STE C
GALT, CA 95632-8609
Phone number: 209-744-9909
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Mailing Address
JOSEPH RYAN GAYLOR
212 BEECHWOOD CT
LODI, CA 95240-8897
Phone number: 209-329-9984
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