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1871110841
MARK RICHARD TAYLOR
ESCONDIDO, CA
NPI
1871110841
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 197217I)
Enumeration Date
2020-06-25
Last Update Date
2020-06-25
Business Address
MARK RICHARD TAYLOR CATC 1
1820 S ESCONDIDO BLVD
ESCONDIDO, CA 92025-6524
Phone number: 760-504-3156
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Mailing Address
MARK RICHARD TAYLOR CATC 1
1820 S ESCONDIDO BLVD
ESCONDIDO, CA 92025-6524
Phone number: 760-504-3156
Copy
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