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1518128685
RONALD DEMETRUIS SHEAD
CARMICHAEL, CA
NPI
1518128685
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2008-06-21
Last Update Date
2008-06-21
Business Address
-- RONALD DEMETRUIS SHEAD
5030 EL CAMINO AVE
CARMICHAEL, CA 95608-4650
Phone number: 916-609-5122
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Mailing Address
-- RONALD DEMETRUIS SHEAD
377 BELL AVE
SACRAMENTO, CA 95838-2162
Phone number: 916-437-8149
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