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1295105963
MARK D KOBOLD
ANTIOCH, CA
NPI
1295105963
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2015-10-06
Last Update Date
2017-03-31
Business Address
Mr. MARK D KOBOLD
1915 D ST
ANTIOCH, CA 94509-2571
Phone number: 925-754-3673
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Mailing Address
Mr. MARK D KOBOLD
1915 D ST
ANTIOCH, CA 94509-2571
Phone number: 925-754-3673
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