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1114040532
SOPHIA HANSEN
STOCKTON, CA
NPI
1114040532
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Additional Taxonomies
103K00000X Behavior Analyst
Enumeration Date
2007-04-09
Last Update Date
2023-12-22
Business Address
SOPHIA HANSEN
405 E PINE ST
STOCKTON, CA 95204-5522
Phone number: 209-464-5519
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Mailing Address
SOPHIA HANSEN
3601 PACIFIC AVE
STOCKTON, CA 95211-0110
Phone number:
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