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1508983594
JUAN MANUEL CAMPOS
MODESTO, CA
NPI
1508983594
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CA IMF43209)
Enumeration Date
2007-03-23
Last Update Date
2007-07-08
Business Address
Mr. JUAN MANUEL CAMPOS MFTINT
1501 CLAUS RD
MODESTO, CA 95355-9711
Phone number: 209-558-4600
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Mailing Address
Mr. JUAN MANUEL CAMPOS MFTINT
2144 COBBLESTONE MNR
MODESTO, CA 95355-9185
Phone number: 209-551-4223
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