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1942719638
MARK CONLEY RYAN
SACRAMENTO, CA
NPI
1942719638
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1257170717)
Enumeration Date
2017-09-25
Last Update Date
2017-09-25
Business Address
MARK CONLEY RYAN RADT-1
3800 POWER INN RD
SACRAMENTO, CA 95826-4333
Phone number: 916-450-0700
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Mailing Address
MARK CONLEY RYAN RADT-1
9401 ROAN RANCH CIR
ELK GROVE, CA 95624-4614
Phone number: 619-218-8609
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