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1063916849
TIM REX CHRISTNER
PLACERVILLE, CA
NPI
1063916849
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1260250817)
Enumeration Date
2018-03-19
Last Update Date
2018-03-19
Business Address
TIM REX CHRISTNER RADT-1
2844 COLOMA ST
PLACERVILLE, CA 95667-4406
Phone number: 530-642-1715
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Mailing Address
TIM REX CHRISTNER RADT-1
PO BOX 1666
PLACERVILLE, CA 95667-1666
Phone number: 530-642-1715
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