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1467230540
ANTHONY STOVALL
STOCKTON, CA
NPI
1467230540
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2023-09-19
Last Update Date
2024-01-30
Business Address
Mr. ANTHONY STOVALL
2495 W MARCH LN STE 125
STOCKTON, CA 95207-8224
Phone number: 209-320-7646
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Mailing Address
Mr. ANTHONY STOVALL
2495 W MARCH LN STE 125
STOCKTON, CA 95207-8224
Phone number:
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