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1114200136
CLINTON TAXDAHL
SACRAMENTO, CA
NPI
1114200136
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
Enumeration Date
2011-09-26
Last Update Date
2011-09-26
Business Address
Mr. CLINTON TAXDAHL
719 J ST
SACRAMENTO, CA 95814-2501
Phone number: 916-444-3118
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Mailing Address
Mr. CLINTON TAXDAHL
2277 FAIR OAKS BLVD STE. 440
SACRAMENTO, CA 95825-5533
Phone number: 916-441-0123
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