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1285236851
MICHELLE EVANGELISTA
SACRAMENTO, CA
NPI
1285236851
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Former Name
MICHELLE DE LOS SANTOS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2020-11-10
Last Update Date
2020-11-10
Business Address
MICHELLE EVANGELISTA
4049 MILLER WAY
SACRAMENTO, CA 95817-1332
Phone number: 916-451-9312
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Mailing Address
MICHELLE EVANGELISTA
4049 MILLER WAY
SACRAMENTO, CA 95817-1332
Phone number: 916-451-9312
Copy
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