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1124571179
EDWARD MINDIOLA
AUBURN, CA
NPI
1124571179
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1224960316)
Enumeration Date
2016-07-26
Last Update Date
2016-07-26
Business Address
Mr. EDWARD MINDIOLA RADT 1
12125 SHALE RIDGE LN
AUBURN, CA 95602-8880
Phone number: 530-885-1917
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Mailing Address
Mr. EDWARD MINDIOLA RADT 1
12125 SHALE RIDGE LN
AUBURN, CA 95602-8880
Phone number:
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