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1063110286
LEE WILLIAM MCCOWAN
STOCKTON, CA
NPI
1063110286
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Additional Taxonomies
172V00000X Community Health Worker
Enumeration Date
2023-02-16
Last Update Date
2023-02-22
Business Address
LEE WILLIAM MCCOWAN
1602 MOSS GARDEN AVE
STOCKTON, CA 95206-4636
Phone number: 916-842-1665
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Mailing Address
LEE WILLIAM MCCOWAN
1602 MOSS GARDEN AVE
STOCKTON, CA 95206-4636
Phone number: 916-842-1665
Copy
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