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1619537321
DALE WILSON
SAN LEANDRO, CA
NPI
1619537321
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-06-14
Last Update Date
2019-06-14
Business Address
DALE WILSON
2035 FAIRMONT DR
SAN LEANDRO, CA 94578-1088
Phone number: 510-346-7836
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Mailing Address
DALE WILSON
2035 FAIRMONT DR
SAN LEANDRO, CA 94578-1088
Phone number: 510-346-7836
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