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1417316712
CARL ERIC TEDROW
ROSEVILLE, CA
NPI
1417316712
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2016-02-15
Last Update Date
2016-02-15
Business Address
Mr. CARL ERIC TEDROW
1133 COLOMA WAY STE C
ROSEVILLE, CA 95661-4480
Phone number: 916-774-6647
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Mailing Address
Mr. CARL ERIC TEDROW
1133 COLOMA WAY STE C
ROSEVILLE, CA 95661-4480
Phone number: 916-774-6647
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