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1205430303
MARK FOSTER
REDDING, CA
NPI
1205430303
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2020-11-30
Last Update Date
2020-11-30
Business Address
MARK FOSTER
1147 HARTNELL AVE
REDDING, CA 96002-2113
Phone number: 530-222-7213
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Mailing Address
MARK FOSTER
1147 HARTNELL AVE
REDDING, CA 96002-2113
Phone number: 530-222-7213
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