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1134698046
RAYMOND ACOSTA
STOCKTON, CA
NPI
1134698046
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2018-11-20
Last Update Date
2018-11-20
Business Address
RAYMOND ACOSTA
2495 W MARCH LN
STOCKTON, CA 95207-8251
Phone number: 209-465-1080
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Mailing Address
RAYMOND ACOSTA
2495 W MARCH LN
STOCKTON, CA 95207-8251
Phone number:
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