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1730278136
WALT PAUL ERICKSON
FULLERTON, CA
NPI
1730278136
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2006-10-12
Last Update Date
2007-07-08
Business Address
Mr. WALT PAUL ERICKSON
771 W ORANGETHORPE AVE
FULLERTON, CA 92832-2806
Phone number: 714-578-2962
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Mailing Address
Mr. WALT PAUL ERICKSON
771 W ORANGETHORPE AVE
FULLERTON, CA 92832-2806
Phone number: 714-578-2962
Copy
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