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1710504220
RAFAEL A SEVILLA
REDDING, CA
NPI
1710504220
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 10128)
Enumeration Date
2020-06-30
Last Update Date
2020-06-30
Business Address
RAFAEL A SEVILLA
1237 CALIFORNIA ST
REDDING, CA 96001-0618
Phone number: 530-243-7470
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Mailing Address
RAFAEL A SEVILLA
1237 CALIFORNIA ST
REDDING, CA 96001-0618
Phone number: 530-243-7470
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