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1205296688
SARUON MOUN-ELDRIDGE
CERES, CA
NPI
1205296688
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CA 175513-III)
Enumeration Date
2016-02-29
Last Update Date
2023-09-26
Business Address
SARUON MOUN-ELDRIDGE 175513 III
1904 RICHLAND AVE
CERES, CA 95307-4562
Phone number: 209-541-2121
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Mailing Address
SARUON MOUN-ELDRIDGE 175513 III
1904 RICHLAND AVE
CERES, CA 95307-4562
Phone number: 209-525-6146
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