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1457035800
DESTINY WELLS
ROSEVILLE, CA
NPI
1457035800
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Other Name
DAMON JASER WELLS
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2023-06-14
Last Update Date
2023-06-14
Business Address
DESTINY WELLS
124 MAIN ST
ROSEVILLE, CA 95678-2232
Phone number: 916-547-3737
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Mailing Address
DESTINY WELLS
124 MAIN ST
ROSEVILLE, CA 95678-2232
Phone number: 916-547-3737
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