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1265618599
ELIAS VASILIOS MAGOULAS
UKIAH, CA
NPI
1265618599
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA RAS M0804031534)
Enumeration Date
2008-01-16
Last Update Date
2012-11-20
Business Address
Mr. ELIAS VASILIOS MAGOULAS RAS
1120 S DORA ST
UKIAH, CA 95482-6340
Phone number: 707-565-6248
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Mailing Address
Mr. ELIAS VASILIOS MAGOULAS RAS
1120 S DORA ST
UKIAH, CA 95482-6340
Phone number: 707-565-6248
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