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1013568625
ITZELT DIANA RODRIGUEZ
STOCKTON, CA
NPI
1013568625
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-09-25
Last Update Date
2019-09-25
Business Address
ITZELT DIANA RODRIGUEZ
1947 N CALIFORNIA ST STE B&C
STOCKTON, CA 95204-6029
Phone number: 209-463-0870
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Mailing Address
ITZELT DIANA RODRIGUEZ
1947 N CALIFORNIA ST STE B&C
STOCKTON, CA 95204-6029
Phone number:
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