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1003598871
TIMOTHY PAUL TUDOR
MARYSVILLE, CA
NPI
1003598871
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2023-08-02
Last Update Date
2023-08-02
Business Address
TIMOTHY PAUL TUDOR SUDRC
2 9TH ST
MARYSVILLE, CA 95901-5362
Phone number: 530-742-6670
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Mailing Address
TIMOTHY PAUL TUDOR SUDRC
430 TEEGARDEN AVE
YUBA CITY, CA 95991-4541
Phone number:
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