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1205359486
CATHY MARY KHOSHABEH
ROSEVILLE, CA
NPI
1205359486
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2017-07-19
Last Update Date
2017-07-19
Business Address
CATHY MARY KHOSHABEH
1133 COLOMA WAY STE C
ROSEVILLE, CA 95661-4480
Phone number: 916-774-6647
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Mailing Address
CATHY MARY KHOSHABEH
1625 SEVILLA DR
ROSEVILLE, CA 95747-5068
Phone number: 541-778-6887
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