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1710397708
TRAN SON
SACRAMENTO, CA
NPI
1710397708
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 12816)
Enumeration Date
2014-04-30
Last Update Date
2014-04-30
Business Address
-- TRAN SON
1914 22ND ST
SACRAMENTO, CA 95816-7109
Phone number: 916-455-6258
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Mailing Address
-- TRAN SON
1914 22ND ST
SACRAMENTO, CA 95816-7109
Phone number: 916-455-6258
Copy
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