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1689197444
FRED BLAUTH
SPARKS, NV
NPI
1689197444
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NV 00130-c)
Enumeration Date
2017-07-24
Last Update Date
2017-07-24
Business Address
FRED BLAUTH CADC
2105 SULLIVAN LN
SPARKS, NV 89431
Phone number: 775-355-7735
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Mailing Address
FRED BLAUTH CADC
927 MOUNT ROSE ST
RENO, NV 89509-3226
Phone number:
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