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1972380988
DILLON SAMUEL RYLATT
PHOENIX, AZ
NPI
1972380988
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: AZ 155299)
Enumeration Date
2023-09-12
Last Update Date
2023-10-03
Business Address
DILLON SAMUEL RYLATT LISAC
3864 N. 27TH AVE
PHOENIX, AZ 85017-4703
Phone number: 602-685-6000
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Mailing Address
DILLON SAMUEL RYLATT LISAC
3003 N. CENTRAL AVE SUITE 400
PHOENIX, AZ 85012-2929
Phone number: 602-302-7715
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