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1609998780
SUSAN LEON
STOCKTON, CA
NPI
1609998780
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-04-06
Last Update Date
2007-07-08
Business Address
Mrs. SUSAN LEON RAS, SACII
620 N AURORA ST STE 2
STOCKTON, CA 95202-2276
Phone number: 209-468-9600
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Mailing Address
Mrs. SUSAN LEON RAS, SACII
1067 OAKHURST WAY
STOCKTON, CA 95209-2030
Phone number: 209-478-5314
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