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1033382221
JENNELL ANTOINETTE SPILLER
STOCKTON, CA
NPI
1033382221
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2008-04-08
Last Update Date
2008-04-08
Business Address
-- JENNELL ANTOINETTE SPILLER
322 N CALIFORNIA ST
STOCKTON, CA 95202-2625
Phone number: 209-948-2199
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Mailing Address
-- JENNELL ANTOINETTE SPILLER
322 N CALIFORNIA ST
STOCKTON, CA 95202-2625
Phone number: 209-948-2199
Copy
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