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1942484779
ROY ALBERT GREEN
SACRAMENTO, CA
NPI
1942484779
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-12-28
Last Update Date
2007-12-28
Business Address
-- ROY ALBERT GREEN
310 HARRIS AVE A
SACRAMENTO, CA 95838-3249
Phone number: 916-649-6793
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Mailing Address
-- ROY ALBERT GREEN
310 HARRIS AVE A
SACRAMENTO, CA 95838-3249
Phone number: 916-649-6793
Copy
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