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1649746900
CHRISTOPHER AVERY DI DOMENICO
SACRAMENTO, CA
NPI
1649746900
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-10-15
Last Update Date
2018-10-15
Business Address
CHRISTOPHER AVERY DI DOMENICO
NORTH SITE: 4441 AUBURN BLVD, SUITE E
SACRAMENTO, CA 95827
Phone number: 916-473-5764
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Mailing Address
CHRISTOPHER AVERY DI DOMENICO
9851 FOLSOM BLVD APT A
SACRAMENTO, CA 95827-1328
Phone number: 208-515-9457
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