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1669056966
ROBERT GEORGE MOSQUEDA
STOCKTON, CA
NPI
1669056966
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2021-05-12
Last Update Date
2021-05-12
Business Address
ROBERT GEORGE MOSQUEDA
1947 N CALIFORNIA ST
STOCKTON, CA 95204-6029
Phone number: 209-420-5717
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Mailing Address
ROBERT GEORGE MOSQUEDA
2502 BELAIR ST
STOCKTON, CA 95205-7712
Phone number: 209-420-5717
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