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1073701801
DAVID MICHAEL BETTENCOURT
ROSEVILLE, CA
NPI
1073701801
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2007-10-05
Last Update Date
2009-12-04
Business Address
Mr. DAVID MICHAEL BETTENCOURT
1133 COLOMA WAY
ROSEVILLE, CA 95661-4480
Phone number: 916-452-3981
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Mailing Address
Mr. DAVID MICHAEL BETTENCOURT
1133 COLOMA WAY
ROSEVILLE, CA 95661-1024
Phone number: 916-786-3750
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