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1558772608
PETER MALDONADO
MODESTO, CA
NPI
1558772608
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2014-05-12
Last Update Date
2015-05-28
Business Address
-- PETER MALDONADO
2000 W BRIGGSMORE AVE SUITE I
MODESTO, CA 95350-3839
Phone number: 209-526-1476
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Mailing Address
-- PETER MALDONADO
2000 W BRIGGSMORE AVE SUITE I
MODESTO, CA 95350-3839
Phone number: 209-526-1476
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