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1750163325
DEONTE DAVOL CLAYTON
DESERT HOT SPRINGS, CA
NPI
1750163325
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1462020322)
Enumeration Date
2023-10-18
Last Update Date
2023-10-18
Business Address
DEONTE DAVOL CLAYTON RADT
18225 DRISCOLL RD
DESERT HOT SPRINGS, CA 92241-8553
Phone number: 760-424-1899
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Mailing Address
DEONTE DAVOL CLAYTON RADT
44359 PALM ST
INDIO, CA 92201-3116
Phone number: 760-342-6616
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