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1225485618
JOHN WIESNER
SACRAMENTO, CA
NPI
1225485618
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA C035310815)
Enumeration Date
2016-05-16
Last Update Date
2016-05-16
Business Address
-- JOHN WIESNER
3600 POWER INN RD
SACRAMENTO, CA 95826-3826
Phone number: 916-453-2708
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Mailing Address
-- JOHN WIESNER
3600 POWER INN RD
SACRAMENTO, CA 95826-3826
Phone number:
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