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1013615343
JOSEPH KING
MODESTO, CA
NPI
1013615343
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 15720)
Enumeration Date
2023-02-16
Last Update Date
2023-02-16
Business Address
JOSEPH KING
2000 W BRIGGSMORE AVE STE I
MODESTO, CA 95350-3839
Phone number: 209-526-1476
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Mailing Address
JOSEPH KING
2000 W BRIGGSMORE AVE STE I
MODESTO, CA 95350-3839
Phone number: 209-526-1476
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