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1093264889
NATHAN MOCK
FRESNO, CA
NPI
1093264889
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2016-09-22
Last Update Date
2016-09-22
Business Address
-- NATHAN MOCK
4411 N CEDAR AVE STE 108
FRESNO, CA 93726-2538
Phone number: 559-248-1548
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Mailing Address
-- NATHAN MOCK
4411 N CEDAR AVE STE 108
FRESNO, CA 93726-2538
Phone number: 559-248-1548
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