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1104511013
ERIC ROBERT WALDVOGEL
SACRAMENTO, CA
NPI
1104511013
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2023-04-06
Last Update Date
2023-04-06
Business Address
ERIC ROBERT WALDVOGEL
3600 POWER INN RD STE C
SACRAMENTO, CA 95826-3826
Phone number: 916-834-2366
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Mailing Address
ERIC ROBERT WALDVOGEL
3600 POWER INN RD STE C
SACRAMENTO, CA 95826-3826
Phone number: 916-834-2366
Copy
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