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1598006256
DAVID MANUEL CHAN
FRESNO, CA
NPI
1598006256
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CA RS6964)
Enumeration Date
2013-03-06
Last Update Date
2020-09-01
Business Address
DAVID MANUEL CHAN
539 N VAN NESS AVE
FRESNO, CA 93728-3419
Phone number: 559-266-9581
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Mailing Address
DAVID MANUEL CHAN
1235 E ST
FRESNO, CA 93706-2024
Phone number: 559-268-6261
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