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1376961508
WA VANG
STOCKTON, CA
NPI
1376961508
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2014-04-04
Last Update Date
2014-04-04
Business Address
-- WA VANG
929 S SAN JOAQUIN ST
STOCKTON, CA 95206-1415
Phone number: 209-684-3683
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Mailing Address
-- WA VANG
929 S SAN JOAQUIN ST
STOCKTON, CA 95206-1415
Phone number: 209-684-3683
Copy
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