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1528382231
JOHN PHILLIP MALDONADO
RICHMOND, CA
NPI
1528382231
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 070004)
Enumeration Date
2010-03-24
Last Update Date
2010-03-24
Business Address
-- JOHN PHILLIP MALDONADO
820 23RD ST
RICHMOND, CA 94804
Phone number: 510-229-5000
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Mailing Address
-- JOHN PHILLIP MALDONADO
820 23RD ST
RICHMOND, CA 94804
Phone number: 510-229-5000
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