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1538636774
MATTHEW JOHN RAITH
CHULA VISTA, CA
NPI
1538636774
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: RI R1242790217)
Enumeration Date
2018-10-25
Last Update Date
2018-10-25
Business Address
MATTHEW JOHN RAITH
1155 THIRD AVE
CHULA VISTA, CA 91911-3136
Phone number: 619-498-8260
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Mailing Address
MATTHEW JOHN RAITH
25266 BARQUE WAY
DANA POINT, CA 92629-1403
Phone number: 949-310-4910
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