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1669095865
MARQUES P WHITFIELD
AUBURN, CA
NPI
1669095865
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1379450320)
Enumeration Date
2020-05-21
Last Update Date
2020-05-21
Business Address
MARQUES P WHITFIELD RADT
12125 SHALE RIDGE LN
AUBURN, CA 95602-8880
Phone number: 530-885-1917
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Mailing Address
MARQUES P WHITFIELD RADT
12125 SHALE RIDGE LN
AUBURN, CA 95602-8880
Phone number: 530-885-1917
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