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1649012402
MICHAEL GLENN ANNIS
ROSEVILLE, CA
NPI
1649012402
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 18080)
Enumeration Date
2024-06-11
Last Update Date
2024-06-11
Business Address
MICHAEL GLENN ANNIS
406 SUNRISE AVE STE 100
ROSEVILLE, CA 95661-4106
Phone number: 916-782-3737
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Mailing Address
MICHAEL GLENN ANNIS
406 SUNRISE AVE STE 105
ROSEVILLE, CA 95661-4145
Phone number:
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