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1255665469
CHARLES MARK WHEATON
REDDING, CA
NPI
1255665469
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2009-09-22
Last Update Date
2009-09-22
Business Address
-- CHARLES MARK WHEATON
3191 CHURN CREEK RD
REDDING, CA 96002-2123
Phone number: 530-224-7160
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Mailing Address
-- CHARLES MARK WHEATON
3191 CHURN CREEK RD
REDDING, CA 96002-2123
Phone number: 530-224-7160
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