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1629725510
LUIS KARLOS MIKER
BLYTHE, CA
NPI
1629725510
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2022-03-09
Last Update Date
2022-03-09
Business Address
LUIS KARLOS MIKER RADT
9826 18TH AVE
BLYTHE, CA 92225-9229
Phone number: 760-922-8625
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Mailing Address
LUIS KARLOS MIKER RADT
1100 N D ST
SAN BERNARDINO, CA 92410-3524
Phone number: 909-560-1312
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