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1225520844
ROBERT ALBERT VILLEGAS
MODESTO, CA
NPI
1225520844
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA r1304540518)
Enumeration Date
2018-05-30
Last Update Date
2018-05-30
Business Address
ROBERT ALBERT VILLEGAS
3125 MCHENRY AVE STE D
MODESTO, CA 95350-1451
Phone number: 209-523-6910
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Mailing Address
ROBERT ALBERT VILLEGAS
3125 MCHENRY AVE STE D
MODESTO, CA 95350-1451
Phone number: 209-523-6910
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