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1770142101
SAMUEL ADAM AMOS
VISALIA, CA
NPI
1770142101
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA r1313150618)
Enumeration Date
2019-06-10
Last Update Date
2019-06-10
Business Address
SAMUEL ADAM AMOS radt
120 W SCHOOL AVE
VISALIA, CA 93291-4925
Phone number: 559-625-4100
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Mailing Address
SAMUEL ADAM AMOS radt
120 W SCHOOL AVE
VISALIA, CA 93291-4925
Phone number: 559-625-4100
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