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1851756407
CORNELL ANDERSON
SACRAMENTO, CA
NPI
1851756407
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2015-12-28
Last Update Date
2016-06-30
Business Address
CORNELL ANDERSON
4343 WILLIAMSBOURGH DR
SACRAMENTO, CA 95823-2006
Phone number: 702-913-2775
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Mailing Address
CORNELL ANDERSON
6836 CALVINE RD
SACRAMENTO, CA 95823-6119
Phone number: 702-913-2775
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