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1942898960
WILLIAM DAVTYAN
VICTORVILLE, CA
NPI
1942898960
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 01-073222)
Enumeration Date
2021-01-05
Last Update Date
2021-01-05
Business Address
WILLIAM DAVTYAN RADTi
16248 VICTOR ST
VICTORVILLE, CA 92395-3934
Phone number: 760-243-7151
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Mailing Address
WILLIAM DAVTYAN RADTi
16248 VICTOR ST
VICTORVILLE, CA 92395-3934
Phone number: 760-243-7151
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