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1467114561
ANTHONY PAUL WINGFIELD
STOCKTON, CA
NPI
1467114561
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 12284)
Enumeration Date
2021-10-06
Last Update Date
2021-10-06
Business Address
ANTHONY PAUL WINGFIELD CADTP
1111 N EL DORADO ST
STOCKTON, CA 95202-1305
Phone number: 209-938-0228
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Mailing Address
ANTHONY PAUL WINGFIELD CADTP
2406 E PARK ST
STOCKTON, CA 95205-4636
Phone number: 209-423-3007
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