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1790051183
DONTRELL EUGENE WATTERS
SACRAMENTO, CA
NPI
1790051183
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2012-03-29
Last Update Date
2012-03-29
Business Address
-- DONTRELL EUGENE WATTERS
4343 WILLIAMSBOURGH DR
SACRAMENTO, CA 95823-2006
Phone number: 916-395-3552
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Mailing Address
-- DONTRELL EUGENE WATTERS
4343 WILLIAMSBOURGH DR
SACRAMENTO, CA 95823-2006
Phone number: 916-395-3552
Copy
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