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1366861890
JIP WOUDSTRA
VISALIA, CA
NPI
1366861890
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2014-04-14
Last Update Date
2014-04-22
Business Address
-- JIP WOUDSTRA Master in Psy
1646 S COURT ST
VISALIA, CA 93277-4962
Phone number: 559-625-8890
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Mailing Address
-- JIP WOUDSTRA Master in Psy
1646 S COURT ST
VISALIA, CA 93277-4962
Phone number: 559-625-8890
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