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1942903109
WADE MALLETT
EUREKA, CA
NPI
1942903109
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2023-03-24
Last Update Date
2023-03-24
Business Address
WADE MALLETT
2413 2ND ST
EUREKA, CA 95501-0811
Phone number: 707-269-9590
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Mailing Address
WADE MALLETT
2413 2ND ST
EUREKA, CA 95501-0811
Phone number: 707-269-9590
Copy
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