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1992269930
JUSTIN DAMIAN BARTON
SAN RAFAEL, CA
NPI
1992269930
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1335740)
Enumeration Date
2019-01-23
Last Update Date
2019-01-23
Business Address
JUSTIN DAMIAN BARTON
603 D ST
SAN RAFAEL, CA 94901-3719
Phone number: 415-454-9444
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Mailing Address
JUSTIN DAMIAN BARTON
516 B ST APT 5
SAN RAFAEL, CA 94901-4016
Phone number: 415-424-3302
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