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1831716331
KYLE WILLIAM CASE
PLACERVILLE, CA
NPI
1831716331
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 10871)
Enumeration Date
2020-06-30
Last Update Date
2020-06-30
Business Address
KYLE WILLIAM CASE SUDRC
2844 COLOMA ST
PLACERVILLE, CA 95667-4406
Phone number: 530-344-4535
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Mailing Address
KYLE WILLIAM CASE SUDRC
2844 COLOMA ST
PLACERVILLE, CA 95667-4406
Phone number: 530-344-4535
Copy
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