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1720201882
DONALD WAYNE DEAN
SANTA ROSA, CA
NPI
1720201882
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-04-10
Last Update Date
2014-06-30
Business Address
-- DONALD WAYNE DEAN
1300 CODDINGTOWN CTR
SANTA ROSA, CA 95401-3537
Phone number: 707-565-7450
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Mailing Address
-- DONALD WAYNE DEAN
1300 CODDINGTOWN CTR
SANTA ROSA, CA 95401-3537
Phone number:
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