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1750560066
RICKEY DEAN
FRESNO, CA
NPI
1750560066
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-11-02
Last Update Date
2007-11-02
Business Address
Mr. RICKEY DEAN
2772 MARTIN L KING JR BLVD
FRESNO, CA 93706-5345
Phone number: 559-265-4800
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Mailing Address
Mr. RICKEY DEAN
49 E ATCHISON ST
FRESNO, CA 93706-4020
Phone number: 559-803-5912
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