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1881087831
TIMOTHY WALLET
OXNARD, CA
NPI
1881087831
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2015-03-16
Last Update Date
2015-03-16
Business Address
-- TIMOTHY WALLET
2055 SAVIERS RD STE A
OXNARD, CA 93033-3608
Phone number: 805-483-2253
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Mailing Address
-- TIMOTHY WALLET
2055 SAVIERS RD STE A
OXNARD, CA 93033-3608
Phone number:
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