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1578238499
JERMAINE DAVID EVANS
SACRAMENTO, CA
NPI
1578238499
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1342310319)
Enumeration Date
2021-08-12
Last Update Date
2021-08-12
Business Address
JERMAINE DAVID EVANS
2100 CAPITOL AVE
SACRAMENTO, CA 95816-5721
Phone number: 916-442-4985
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Mailing Address
JERMAINE DAVID EVANS
2100 CAPITOL AVE
SACRAMENTO, CA 95816-5721
Phone number: 916-442-4985
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