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1205305968
MICHAEL JAMES LATORRACA
LODI, CA
NPI
1205305968
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2018-11-24
Last Update Date
2021-01-12
Business Address
MICHAEL JAMES LATORRACA
541 S HAM LN STE A&B
LODI, CA 95242-3530
Phone number: 224-894-0209
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Mailing Address
MICHAEL JAMES LATORRACA
541 S HAM LN STE A&B
LODI, CA 95242-3530
Phone number: 209-224-8940
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