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1629246053
LARRY HOWARD DILLARD
AUBURN, CA
NPI
1629246053
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2008-02-19
Last Update Date
2008-02-19
Business Address
-- LARRY HOWARD DILLARD
11417 D AVE
AUBURN, CA 95603-2708
Phone number: 530-885-1917
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Mailing Address
-- LARRY HOWARD DILLARD
11417 D AVE
AUBURN, CA 95603-2708
Phone number: 530-885-1917
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