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1578386405
LARON WILSON
RICHMOND, CA
NPI
1578386405
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2024-11-07
Last Update Date
2024-11-07
Business Address
LARON WILSON
12960 SAN PABLO AVE
RICHMOND, CA 94805-1307
Phone number: 510-215-2800
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Mailing Address
LARON WILSON
12960 SAN PABLO AVE
RICHMOND, CA 94805-1307
Phone number: 510-215-2280
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