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1962636704
LAQUINTIANA S NELSON
SACRAMENTO, CA
NPI
1962636704
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2009-05-07
Last Update Date
2009-05-07
Business Address
-- LAQUINTIANA S NELSON
4343 WILLIAMSBOURGH DR
SACRAMENTO, CA 95823-2006
Phone number: 916-395-3683
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Mailing Address
-- LAQUINTIANA S NELSON
4343 WILLIAMSBOURGH DR
SACRAMENTO, CA 95823-2006
Phone number: 916-395-3683
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