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1952674046
SYLVESTER TYLER
LAKE ELSINORE, CA
NPI
1952674046
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2012-02-20
Last Update Date
2012-02-20
Business Address
SYLVESTER TYLER
600 3RD ST
LAKE ELSINORE, CA 92530-2748
Phone number: 951-216-7300
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Mailing Address
SYLVESTER TYLER
PO BOX 549
LAKE ELSINORE, CA 92531-0549
Phone number: 951-216-7300
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