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1265909402
JULIA DAVENA
FAIR OAKS, CA
NPI
1265909402
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1404430920)
Enumeration Date
2018-10-25
Last Update Date
2020-12-28
Business Address
JULIA DAVENA RADT
7949 CALIFORNIA AVE STE 15
FAIR OAKS, CA 95628-7156
Phone number: 916-863-7949
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Mailing Address
JULIA DAVENA RADT
7949 CALIFORNIA AVE STE 15
FAIR OAKS, CA 95628-7156
Phone number: 916-863-7949
Copy
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