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1649805425
NORRIS LAYNE DELOSTRICO
HILO, HI
NPI
1649805425
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
320800000X Community Based Residential Treatment Facility, Mental Illness
Enumeration Date
2020-03-11
Last Update Date
2020-03-11
Business Address
Mr. NORRIS LAYNE DELOSTRICO
1786 KINOOLE ST
HILO, HI 96720-5245
Phone number: 808-959-5855
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Mailing Address
Mr. NORRIS LAYNE DELOSTRICO
PO BOX 54
MOUNTAIN VIEW, HI 96771-0054
Phone number: 808-960-6196
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