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1205000965
JOSEPH LOUIS FERDIN
VALLEJO, CA
NPI
1205000965
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2008-04-14
Last Update Date
2008-04-14
Business Address
-- JOSEPH LOUIS FERDIN
419 PENNSYLVANIA ST
VALLEJO, CA 94590-6933
Phone number: 707-643-2715
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Mailing Address
-- JOSEPH LOUIS FERDIN
419 PENNSYLVANIA ST
VALLEJO, CA 94590-6933
Phone number: 707-643-2715
Copy
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