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1245733203
LATISHA ROSE MUCKER
STOCKTON, CA
NPI
1245733203
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
Enumeration Date
2018-03-15
Last Update Date
2023-10-30
Business Address
LATISHA ROSE MUCKER Peer Recovery Coach
620 N AURORA ST
STOCKTON, CA 95202-2343
Phone number: 209-468-8786
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Mailing Address
LATISHA ROSE MUCKER Peer Recovery Coach
620 N AURORA ST
STOCKTON, CA 95202-2343
Phone number: 209-468-8786
Copy
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