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1689427551
NATHAN ALLEN CRAIN
FRESNO, CA
NPI
1689427551
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA Ci40861123)
Enumeration Date
2024-04-09
Last Update Date
2024-05-06
Business Address
Mr. NATHAN ALLEN CRAIN Ci40861123
2772 S MARTIN LUTHER KING BLVD
FRESNO, CA 93706
Phone number: 558-265-4800
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Mailing Address
Mr. NATHAN ALLEN CRAIN Ci40861123
1204 W SHAW AVE # 102
FRESNO, CA 93711-3706
Phone number: 559-681-1947
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