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1457798894
JOHN MARCUS MATHEWS
SACRAMENTO, CA
NPI
1457798894
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA RW5456)
Enumeration Date
2013-05-24
Last Update Date
2013-05-24
Business Address
Mr. JOHN MARCUS MATHEWS RRW
2515 48TH AVE
SACRAMENTO, CA 95822-3810
Phone number: 916-394-2328
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Mailing Address
Mr. JOHN MARCUS MATHEWS RRW
4241 FLORIN RD
SACRAMENTO, CA 95823-2535
Phone number: 916-394-2320
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