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1831470228
IAN SANDERS
SANTA ROSA, CA
NPI
1831470228
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2011-08-30
Last Update Date
2022-07-21
Business Address
-- IAN SANDERS
341 IRWIN LN
SANTA ROSA, CA 95401-5603
Phone number: 707-360-1500
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Mailing Address
-- IAN SANDERS
341 IRWIN LN
SANTA ROSA, CA 95401-5603
Phone number: 707-360-1500
Copy
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