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1275695033
JULIAN PEREZ
STOCKTON, CA
NPI
1275695033
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
261QM2800X Clinic/Center, Methadone Clinic
(Licence: CA 39-07)
Enumeration Date
2006-12-15
Last Update Date
2007-07-08
Business Address
Mr. JULIAN PEREZ
1111 N EL DORADO ST
STOCKTON, CA 95202-1305
Phone number: 209-938-0228
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Mailing Address
Mr. JULIAN PEREZ
2205 ABLE CT
SACRAMENTO, CA 95835-1356
Phone number: 916-419-2203
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