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1316060056
JOSEPH CORDOVA
STOCKTON, CA
NPI
1316060056
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-04-09
Last Update Date
2007-07-08
Business Address
Mr. JOSEPH CORDOVA
620 N AURORA ST STE 1
STOCKTON, CA 95202-2276
Phone number: 209-468-2332
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Mailing Address
Mr. JOSEPH CORDOVA
746 W ALAMEDA ST
MANTECA, CA 95336-4404
Phone number: 209-824-2355
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