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1417183385
ALEX R ANDERSON
LODI, CA
NPI
1417183385
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2009-06-05
Last Update Date
2009-06-05
Business Address
-- ALEX R ANDERSON
1300 W LODI AVE SUITE G-2
LODI, CA 95242-3000
Phone number: 209-956-4240
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Mailing Address
-- ALEX R ANDERSON
1300 W LODI AVE SUITE G-2
LODI, CA 95242-3000
Phone number: 209-956-4240
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