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1154443190
FONDA HILL
STOCKTON, CA
NPI
1154443190
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA H0501011505)
Enumeration Date
2007-04-03
Last Update Date
2007-07-08
Business Address
-- FONDA HILL
1212 N CALIFORNIA ST
STOCKTON, CA 95202-1552
Phone number: 209-952-7524
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Mailing Address
-- FONDA HILL
1212 N CALIFORNIA ST
STOCKTON, CA 95202-1552
Phone number: 209-953-7524
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