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1508001967
EVELYN ROVIDA FRAGOSO WILKERSON
VACAVILLE, CA
NPI
1508001967
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CA 480015BP)
Enumeration Date
2008-12-12
Last Update Date
2008-12-12
Business Address
MRS. EVELYN ROVIDA FRAGOSO WILKERSON
352 ADOBE DR
VACAVILLE, CA 95687
Phone number: 707-365-2251
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Mailing Address
MRS. EVELYN ROVIDA FRAGOSO WILKERSON
352 ADOBE DR
VACAVILLE, CA 95687-5805
Phone number: 707-365-2251
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