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1598980989
PAUL LY
CLOVIS, CA
NPI
1598980989
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-04-13
Last Update Date
2007-07-08
Business Address
Mr. PAUL LY
955 ROBINSON AVE
CLOVIS, CA 93612-5885
Phone number: 559-903-4889
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Mailing Address
Mr. PAUL LY
955 ROBINSON AVE
CLOVIS, CA 93612-5885
Phone number: 559-903-4889
Copy
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