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1477136299
RONALD PATRICK WETHERALL
SACRAMENTO, CA
NPI
1477136299
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1373171219)
Enumeration Date
2021-04-29
Last Update Date
2021-05-05
Business Address
RONALD PATRICK WETHERALL RADT
1820 J ST
SACRAMENTO, CA 95811-3010
Phone number: 916-313-8434
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Mailing Address
RONALD PATRICK WETHERALL RADT
PO BOX 189154
SACRAMENTO, CA 95818-9154
Phone number: 916-616-5152
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