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1487127221
RENE MICHELLE SEBOLD
SANTA CRUZ, CA
NPI
1487127221
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Former Name
RENE MICHELLE BONANDER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-01-04
Last Update Date
2019-01-04
Business Address
Ms. RENE MICHELLE SEBOLD
707 FAIR AVE
SANTA CRUZ, CA 95060
Phone number: 831-427-1007
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Mailing Address
Ms. RENE MICHELLE SEBOLD
707 FAIR AVE
SANTA CRUZ, CA 95060
Phone number: 831-427-1007
Copy
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