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1700191905
FOREST ALBION RAY
FRESNO, CA
NPI
1700191905
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2010-08-11
Last Update Date
2010-08-11
Business Address
-- FOREST ALBION RAY
114 E SHAW AVE STE 210
FRESNO, CA 93710-7621
Phone number: 559-221-8100
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Mailing Address
-- FOREST ALBION RAY
114 E SHAW AVE STE 210
FRESNO, CA 93710-7621
Phone number: 559-221-8100
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