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1083845143
PAUL ALLEN SOUSA
SACRAMENTO, CA
NPI
1083845143
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2009-08-06
Last Update Date
2009-08-06
Business Address
-- PAUL ALLEN SOUSA
2100 CAPITOL AVE
SACRAMENTO, CA 95816-5721
Phone number: 916-442-4985
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Mailing Address
-- PAUL ALLEN SOUSA
2100 CAPITOL AVE
SACRAMENTO, CA 95816-5721
Phone number: 916-442-4985
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