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1538920095
ISRAEL ROSA
CERES, CA
NPI
1538920095
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2024-01-22
Last Update Date
2024-01-22
Business Address
ISRAEL ROSA
1904 RICHLAND AVE
CERES, CA 95307-4562
Phone number: 209-525-7411
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Mailing Address
ISRAEL ROSA
1904 RICHLAND AVE
CERES, CA 95307-4562
Phone number: 209-525-7411
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