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1720628951
MATT DAVID EDMONDSON
BAKERSFIELD, CA
NPI
1720628951
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA RADT)
Enumeration Date
2020-01-15
Last Update Date
2020-01-15
Business Address
MATT DAVID EDMONDSON
708 LINCOLN ST
BAKERSFIELD, CA 93305-3711
Phone number: 661-869-1795
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Mailing Address
MATT DAVID EDMONDSON
PO BOX 3218
BAKERSFIELD, CA 93385-3218
Phone number: 661-869-1795
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