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1114409083
DANIEL PATRICK MINER
PLACERVILLE, CA
NPI
1114409083
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1320970818)
Enumeration Date
2018-09-06
Last Update Date
2018-09-06
Business Address
DANIEL PATRICK MINER RADT-1
2844 COLOMA ST
PLACERVILLE, CA 95667-4406
Phone number: 530-642-1715
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Mailing Address
DANIEL PATRICK MINER RADT-1
PO BOX 1666
PLACERVILLE, CA 95667-1666
Phone number: 530-642-1715
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