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1245518950
AMBER NICHOLE MODGLIN
VACAVILLE, CA
NPI
1245518950
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2011-07-29
Last Update Date
2011-07-29
Business Address
-- AMBER NICHOLE MODGLIN
102 FREEDOM CT
VACAVILLE, CA 95687-6777
Phone number: 707-631-5362
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Mailing Address
-- AMBER NICHOLE MODGLIN
102 FREEDOM CT
VACAVILLE, CA 95687-6777
Phone number: 707-631-5362
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