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1619465317
GEORGE WALTON TAY
RIVERSIDE, CA
NPI
1619465317
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1291540218)
Enumeration Date
2018-04-27
Last Update Date
2018-04-27
Business Address
Mr. GEORGE WALTON TAY RADT-1
1660 CHICAGO AVE
RIVERSIDE, CA 92507-2068
Phone number: 951-823-0540
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Mailing Address
Mr. GEORGE WALTON TAY RADT-1
1660 CHICAGO AVE
RIVERSIDE, CA 92507-2068
Phone number: 951-823-0540
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