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1205027083
JACQUELL Y WILSON
SACRAMENTO, CA
NPI
1205027083
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2007-08-06
Last Update Date
2007-08-06
Business Address
-- JACQUELL Y WILSON
4600 47TH AVE
SACRAMENTO, CA 95824-3923
Phone number: 916-393-1222
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Mailing Address
-- JACQUELL Y WILSON
4600 47TH AVE
SACRAMENTO, CA 95824-3923
Phone number: 916-393-1222
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