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1205457363
TIMOTHY WALTER DONLIN
VALLEJO, CA
NPI
1205457363
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2020-04-29
Last Update Date
2020-04-29
Business Address
Mr. TIMOTHY WALTER DONLIN RADT, SUDRC
627 GRANT ST
VALLEJO, CA 94590-7228
Phone number: 707-553-1042
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Mailing Address
Mr. TIMOTHY WALTER DONLIN RADT, SUDRC
627 GRANT ST
VALLEJO, CA 94590-7228
Phone number: 707-553-1042
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