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1396116695
KE'ONNA JANAE STAPLES
ROSEVILLE, CA
NPI
1396116695
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2015-10-13
Last Update Date
2015-10-13
Business Address
-- KE'ONNA JANAE STAPLES
1133 COLOMA WAY
ROSEVILLE, CA 95661-4480
Phone number: 916-774-6647
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Mailing Address
-- KE'ONNA JANAE STAPLES
1133 COLOMA WAY
ROSEVILLE, CA 95661-4480
Phone number: 916-774-6647
Copy
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