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1114567419
HANAT NAMBI BALIMUTTAJJO
MODESTO, CA
NPI
1114567419
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2020-01-14
Last Update Date
2020-01-14
Business Address
HANAT NAMBI BALIMUTTAJJO
2000 W BRIGGSMORE AVE STE I
MODESTO, CA 95350-3839
Phone number: 209-526-1476
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Mailing Address
HANAT NAMBI BALIMUTTAJJO
2000 W BRIGGSMORE AVE STE I
MODESTO, CA 95350-3839
Phone number: 209-526-1476
Copy
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