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1083224091
MARIA SANDOVAL CHARLES
WOODLAND, CA
NPI
1083224091
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 10988)
Enumeration Date
2020-08-04
Last Update Date
2020-08-04
Business Address
MARIA SANDOVAL CHARLES RADT
215 W BEAMER ST
WOODLAND, CA 95695-2510
Phone number: 530-405-2815
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Mailing Address
MARIA SANDOVAL CHARLES RADT
PO BOX 1260
DAVIS, CA 95617-1260
Phone number: 530-405-2815
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