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1043511538
JAMIE MICHELLE WILSON
VACAVILLE, CA
NPI
1043511538
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2010-11-15
Last Update Date
2010-11-15
Business Address
JAMIE MICHELLE WILSON
1286 CALLEN ST
VACAVILLE, CA 95688-3002
Phone number: 707-447-8982
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Mailing Address
JAMIE MICHELLE WILSON
1286 CALLEN ST
VACAVILLE, CA 95688-3002
Phone number: 707-447-8982
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