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1063299444
SEBASTIAN MARK BELLOMO
STOCKTON, CA
NPI
1063299444
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2023-09-11
Last Update Date
2023-09-11
Business Address
SEBASTIAN MARK BELLOMO
1947 N CALIFORNIA ST
STOCKTON, CA 95204-6034
Phone number: 209-463-0870
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Mailing Address
SEBASTIAN MARK BELLOMO
1947 N CALIFORNIA ST
STOCKTON, CA 95204-6034
Phone number:
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