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1063919769
CORAL LYNN WILSON
SACRAMENTO, CA
NPI
1063919769
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-04-09
Last Update Date
2018-04-09
Business Address
Miss CORAL LYNN WILSON RADT
4049 MILLER WAY
SACRAMENTO, CA 95817-1332
Phone number: 916-451-9312
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Mailing Address
Miss CORAL LYNN WILSON RADT
3716 FIELDING CIR
SACRAMENTO, CA 95826-4420
Phone number: 916-256-9801
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