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1962250704
LARRY SMILEY
MERCED, CA
NPI
1962250704
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2024-05-07
Last Update Date
2024-05-07
Business Address
LARRY SMILEY
1299 YOSEMITE PKWY
MERCED, CA 95340-5265
Phone number: 209-722-6335
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Mailing Address
LARRY SMILEY
3930 MENTON CT
MERCED, CA 95348-9537
Phone number: 209-233-5401
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