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1053882183
ROBERT CARL THOMPSON
MODESTO, CA
NPI
1053882183
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-12-16
Last Update Date
2019-10-16
Business Address
ROBERT CARL THOMPSON
1028 RENO AVE
MODESTO, CA 95351-1127
Phone number: 209-579-1103
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Mailing Address
ROBERT CARL THOMPSON
1100 KANSAS AVE STE B
MODESTO, CA 95351-1596
Phone number: 209-579-1151
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