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1619609625
JAO VANG
SACRAMENTO, CA
NPI
1619609625
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CA 13540)
Enumeration Date
2022-06-28
Last Update Date
2022-06-28
Business Address
JAO VANG
7240 E SOUTHGATE DR STE G
SACRAMENTO, CA 95823-2627
Phone number: 916-391-4293
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Mailing Address
JAO VANG
7240 E SOUTHGATE DR STE G
SACRAMENTO, CA 95823-2627
Phone number: 916-391-4293
Copy
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