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1225624018
MARINA IRENE NELSON
SANTA ROSA, CA
NPI
1225624018
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2020-12-15
Last Update Date
2020-12-15
Business Address
MARINA IRENE NELSON RADT-1
2400 COUNTY CENTER DR
SANTA ROSA, CA 95403-3004
Phone number: 707-566-0170
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Mailing Address
MARINA IRENE NELSON RADT-1
2400 COUNTY CENTER DR
SANTA ROSA, CA 95403-3004
Phone number: 707-566-0170
Copy
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