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1194483131
MITCHELL DALE JANKOWSKI
PLACERVILLE, CA
NPI
1194483131
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2021-12-07
Last Update Date
2021-12-07
Business Address
MITCHELL DALE JANKOWSKI R1381900320
2844 COLOMA ST
PLACERVILLE, CA 95667-4406
Phone number: 530-626-9240
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Mailing Address
MITCHELL DALE JANKOWSKI R1381900320
PO BOX 1666
PLACERVILLE, CA 95667-1666
Phone number: 530-626-9240
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