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1881269363
MICHAEL DISANDRO
AUBURN, CA
NPI
1881269363
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2021-05-26
Last Update Date
2021-05-26
Business Address
MICHAEL DISANDRO RADT
12125 SHALE RIDGE LN
AUBURN, CA 95602-8880
Phone number: 530-885-1917
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Mailing Address
MICHAEL DISANDRO RADT
PO BOX 6028
AUBURN, CA 95604-6028
Phone number: 530-878-5166
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