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1346020591
ANTHONY STIDHUM
HUNTINGTON PARK, CA
NPI
1346020591
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
175T00000X Peer Specialist
Additional Taxonomies
225400000X Rehabilitation Practitioner
Enumeration Date
2023-10-04
Last Update Date
2023-10-04
Business Address
ANTHONY STIDHUM
2677 ZOE AVE STE 304
HUNTINGTON PARK, CA 90255-3699
Phone number: 323-346-0960
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Mailing Address
ANTHONY STIDHUM
2677 ZOE AVE STE 304
HUNTINGTON PARK, CA 90255-3699
Phone number:
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