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1326813395
JUSTUS KING
MODESTO, CA
NPI
1326813395
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2023-11-20
Last Update Date
2023-11-20
Business Address
JUSTUS KING
416 CORSON AVE
MODESTO, CA 95350-5408
Phone number: 209-521-1805
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Mailing Address
JUSTUS KING
416 CORSON AVE
MODESTO, CA 95350-5408
Phone number: 209-521-1805
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