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1588215842
RYAN THOMAS BARKER
CORONA, CA
NPI
1588215842
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 191029II)
Enumeration Date
2019-09-26
Last Update Date
2020-06-29
Business Address
RYAN THOMAS BARKER CATC II
109 E 11TH ST
CORONA, CA 92879-2157
Phone number: 951-427-3482
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Mailing Address
RYAN THOMAS BARKER CATC II
109 E 11TH ST
CORONA, CA 92879-2157
Phone number: 951-427-3482
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