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1043874027
TRUMAN LYNN NORTHERN
MODESTO, CA
NPI
1043874027
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
Enumeration Date
2019-04-25
Last Update Date
2019-04-25
Business Address
TRUMAN LYNN NORTHERN
609 5TH ST
MODESTO, CA 95351-3316
Phone number: 209-341-0718
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Mailing Address
TRUMAN LYNN NORTHERN
609 5TH ST
MODESTO, CA 95351-3316
Phone number: 209-341-0718
Copy
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