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1144987553
PATHANA LUANGRATH
CERES, CA
NPI
1144987553
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2021-11-19
Last Update Date
2022-05-10
Business Address
PATHANA LUANGRATH
1768 MITCHELL RD STE 301
CERES, CA 95307-2156
Phone number: 209-353-4838
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Mailing Address
PATHANA LUANGRATH
1768 MITCHELL RD STE 301
CERES, CA 95307-2156
Phone number: 209-353-4838
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