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1902046220
THERESA M DESOUZA
SACRAMENTO, CA
NPI
1902046220
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
324500000X Substance Abuse Rehabilitation Facility
(Licence: CA 03-080650)
Enumeration Date
2009-02-26
Last Update Date
2009-02-26
Business Address
-- THERESA M DESOUZA CAS
1550 JULIESSE AVE
SACRAMENTO, CA 95815-1803
Phone number: 916-609-4821
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Mailing Address
-- THERESA M DESOUZA CAS
1550 JULIESSE AVE
SACRAMENTO, CA 95815-1803
Phone number: 916-609-4821
Copy
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