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1801447966
IRWIN CLYDE RUTHERFORD
WARNER ROBINS, GA
NPI
1801447966
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: GA LPC008881)
Enumeration Date
2019-09-20
Last Update Date
2019-09-20
Business Address
Mr. IRWIN CLYDE RUTHERFORD LPC
109 OSIGIAN BLVD STE 400
WARNER ROBINS, GA 31088-8925
Phone number: 229-401-8431
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Mailing Address
Mr. IRWIN CLYDE RUTHERFORD LPC
133 KENTSHIRE LANE
BONAIRE, GA 31005
Phone number: 229-401-8431
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