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1588216899
WYATT EVERETT TRAMMELL
SAN ANDREAS, CA
NPI
1588216899
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 9199)
Enumeration Date
2019-07-16
Last Update Date
2019-07-16
Business Address
WYATT EVERETT TRAMMELL CADC-CAS, SUDDC
891 MOUNTAIN RANCH RD
SAN ANDREAS, CA 95249-9713
Phone number: 209-608-0700
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Mailing Address
WYATT EVERETT TRAMMELL CADC-CAS, SUDDC
PO BOX 1341
ANGELS CAMP, CA 95222-1341
Phone number: 209-608-0700
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