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1023417136
CANAAN SAMPSON
AUBURN, CA
NPI
1023417136
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2014-08-14
Last Update Date
2014-08-14
Business Address
-- CANAAN SAMPSON RAS I
11837 KEMPER RD
AUBURN, CA 95603-9067
Phone number: 530-888-1010
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Mailing Address
-- CANAAN SAMPSON RAS I
4039 HUNTER OAKS LN
LOOMIS, CA 95650-9281
Phone number: 530-888-1010
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