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1477107415
SEAN MICHAEL WADE
RIDGECREST, CA
NPI
1477107415
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
175T00000X Peer Specialist
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2019-07-29
Last Update Date
2019-10-14
Business Address
SEAN MICHAEL WADE
1400 N NORMA ST STE 133
RIDGECREST, CA 93555-2577
Phone number: 760-499-7406
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Mailing Address
SEAN MICHAEL WADE
1441 N ALFORD ST
RIDGECREST, CA 93555-8309
Phone number: 760-608-6672
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