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1205475621
JOSE MANUEL SOTO
MERCED, CA
NPI
1205475621
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2020-01-02
Last Update Date
2020-01-02
Business Address
JOSE MANUEL SOTO
1301 YOSEMITE PKWY
MERCED, CA 95340-5203
Phone number: 209-722-6335
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Mailing Address
JOSE MANUEL SOTO
2829 PARK AVE APT 13
MERCED, CA 95348-3379
Phone number: 209-905-8060
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