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1376024117
JOHN WASIELEWSKI
SANTA CRUZ, CA
NPI
1376024117
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1319310818)
Enumeration Date
2018-08-28
Last Update Date
2018-08-28
Business Address
JOHN WASIELEWSKI RADT
200 7TH AVE STE 150
SANTA CRUZ, CA 95062-4669
Phone number: 831-462-1060
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Mailing Address
JOHN WASIELEWSKI RADT
200 7TH AVE STE 150
SANTA CRUZ, CA 95062-4669
Phone number: 831-462-1060
Copy
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