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1619156510
DAVID ISAIAH BOATWRIGHT
STOCKTON, CA
NPI
1619156510
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-10-26
Last Update Date
2007-10-26
Business Address
-- DAVID ISAIAH BOATWRIGHT
1947 N CALIFORNIA ST STE C
STOCKTON, CA 95204-6029
Phone number: 209-463-0870
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Mailing Address
-- DAVID ISAIAH BOATWRIGHT
1947 N CALIFORNIA ST STE C
STOCKTON, CA 95204-6029
Phone number: 209-463-0870
Copy
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