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1255957221
NATHAN CHALK
MODESTO, CA
NPI
1255957221
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2020-06-24
Last Update Date
2020-06-26
Business Address
NATHAN CHALK
1540 FLORIDA AVE
MODESTO, CA 95350-4430
Phone number: 209-661-8840
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Mailing Address
NATHAN CHALK
1540 FLORIDA AVE
MODESTO, CA 95350-4430
Phone number: 209-661-8840
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