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1528800711
KYLE JUSTIN LAWSON
OAKLAND, CA
NPI
1528800711
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 15977)
Enumeration Date
2024-06-10
Last Update Date
2024-06-10
Business Address
KYLE JUSTIN LAWSON
1315 FRUITVALE AVE
OAKLAND, CA 94601-2927
Phone number: 510-300-3170
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Mailing Address
KYLE JUSTIN LAWSON
3210 62ND AVE
OAKLAND, CA 94605-1614
Phone number: 661-754-4542
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