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1992086581
ELIASAR GONZALES SORIA
SACRAMENTO, CA
NPI
1992086581
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2011-09-09
Last Update Date
2011-09-09
Business Address
-- ELIASAR GONZALES SORIA RASi
9028 NEWHALL DR
SACRAMENTO, CA 95826-5104
Phone number: 916-363-4840
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Mailing Address
-- ELIASAR GONZALES SORIA RASi
9028 NEWHALL DR
SACRAMENTO, CA 95826-5104
Phone number: 916-363-4840
Copy
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