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1043331671
EDELISA V ROBERTS
STOCKTON, CA
NPI
1043331671
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-04-02
Last Update Date
2007-07-08
Business Address
Mrs. EDELISA V ROBERTS
2506 DRY CREEK WAY
STOCKTON, CA 95206-5839
Phone number: 209-468-9394
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Mailing Address
Mrs. EDELISA V ROBERTS
2506 DRY CREEK WAY
STOCKTON, CA 95206-5839
Phone number: 209-468-9394
Copy
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