PAUL TIMOTHY MOURISKI

STOCKTON, CA
NPI1609159623
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  m1011171749)
Enumeration Date2011-09-26
Last Update Date2011-09-26
Business Address
-- PAUL TIMOTHY MOURISKI
1212 N CALIFORNIA ST
STOCKTON, CA 95202-1552
Phone number: 209-953-7912
Mailing Address
-- PAUL TIMOTHY MOURISKI
1212 N CALIFORNIA ST TEAM B
STOCKTON, CA 95202-1552
Phone number: 209-953-7912
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