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1447669510
MOISES ALCANTARA
MODESTO, CA
NPI
1447669510
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2014-08-04
Last Update Date
2016-02-26
Business Address
-- MOISES ALCANTARA
1235 MCHENRY AVE STE AANDB
MODESTO, CA 95350-5370
Phone number: 209-527-4597
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Mailing Address
-- MOISES ALCANTARA
1235 MCHENRY AVE STE AANDB
MODESTO, CA 95350-5370
Phone number: 209-531-8899
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