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1528286580
DAVID GLEN KIRKLAND
MODESTO, CA
NPI
1528286580
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 02045384)
Enumeration Date
2007-04-23
Last Update Date
2007-07-08
Business Address
Mr. DAVID GLEN KIRKLAND C.A.S.
1028 RENO AVE
MODESTO, CA 95351-1127
Phone number: 209-579-1103
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Mailing Address
Mr. DAVID GLEN KIRKLAND C.A.S.
1013 DEL VALE AVE
MODESTO, CA 95350-4800
Phone number: 209-571-0972
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