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1366578650
CONNIE LYNN TIPTON
MODESTO, CA
NPI
1366578650
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Other Name
NA NA NA
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NA)
Enumeration Date
2007-02-23
Last Update Date
2007-07-08
Business Address
Ms. CONNIE LYNN TIPTON
800 SCENIC DR BLDG F
MODESTO, CA 95350-6131
Phone number: 209-525-7412
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Mailing Address
Ms. CONNIE LYNN TIPTON
PO BOX 3322
MODESTO, CA 95353-3322
Phone number: 209-525-7412
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