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1710064852
JOHN LUNDHOLM
SACRAMENTO, CA
NPI
1710064852
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2006-11-01
Last Update Date
2007-07-08
Business Address
MR. JOHN LUNDHOLM
7650 AMHERST ST
SACRAMENTO, CA 95832-1024
Phone number: 916-665-1804
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Mailing Address
MR. JOHN LUNDHOLM
3735 BROADWAY
SACRAMENTO, CA 95817-2926
Phone number: 916-214-5665
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