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1194902494
LISA NIXON
STOCKTON, CA
NPI
1194902494
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2008-01-29
Last Update Date
2008-01-29
Business Address
-- LISA NIXON
6707 EMBARCADERO DR
STOCKTON, CA 95219-3382
Phone number: 209-956-4240
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Mailing Address
-- LISA NIXON
6707 EMBARCADERO DR
STOCKTON, CA 95219-3382
Phone number: 209-956-4240
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