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1982129508
BRENT CHARLES ULRICI
PLACERVILLE, CA
NPI
1982129508
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2017-08-04
Last Update Date
2017-08-04
Business Address
Mr. BRENT CHARLES ULRICI
2986 COLMA ST
PLACERVILLE, CA 95667
Phone number: 530-748-3706
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Mailing Address
Mr. BRENT CHARLES ULRICI
PO BOX 1666 2844 COLOMA ST
PLACERVILL, CA 95667
Phone number: 530-626-9240
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