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1457521767
AMANDA RYAN
ROSEVILLE, CA
NPI
1457521767
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2008-03-04
Last Update Date
2011-01-11
Business Address
Ms. AMANDA RYAN
1133 COLOMA WAY C
ROSEVILLE, CA 95661-4480
Phone number: 916-774-6647
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Mailing Address
Ms. AMANDA RYAN
1133 COLOMA WAY STE C
ROSEVILLE, CA 95661-4480
Phone number: 209-217-6413
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