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1578976569
PAUL PELLETIER
STOCKTON, CA
NPI
1578976569
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2014-06-06
Last Update Date
2014-06-06
Business Address
-- PAUL PELLETIER
1947 N CALIFORNIA ST STE B
STOCKTON, CA 95204-6029
Phone number: 209-463-0870
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Mailing Address
-- PAUL PELLETIER
9703 NANTUCKET DR
STOCKTON, CA 95209-1441
Phone number: 209-986-7010
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