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1558511329
QUANG TRAN
STOCKTON, CA
NPI
1558511329
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2008-09-29
Last Update Date
2008-09-29
Business Address
Mr. QUANG TRAN
8626 LOWER SACRAMENTO RD STE. 41
STOCKTON, CA 95210-1835
Phone number: 209-478-1476
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Mailing Address
Mr. QUANG TRAN
3626 MASSIMO CIR
STOCKTON, CA 95212-2734
Phone number: 209-482-3908
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