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1356599690
DANIEL MICHAEL WHEELER
CLEARLAKE, CA
NPI
1356599690
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA RI-W0808241953)
Enumeration Date
2008-08-28
Last Update Date
2008-08-28
Business Address
-- DANIEL MICHAEL WHEELER RASI
6558 OLD HWY 53
CLEARLAKE, CA 95422-6885
Phone number: 707-995-3235
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Mailing Address
-- DANIEL MICHAEL WHEELER RASI
PO BOX 6470
CLEARLAKE, CA 95422-6470
Phone number: 707-995-3235
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