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1265160626
MARK NEWMAN
MODESTO, CA
NPI
1265160626
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2022-08-12
Last Update Date
2022-08-12
Business Address
Mr. MARK NEWMAN
1028 RENO AVE
MODESTO, CA 95351-1127
Phone number: 209-578-1103
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Mailing Address
Mr. MARK NEWMAN
1100 KANSAS AVE STE B
MODESTO, CA 95351-1596
Phone number:
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