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1679738876
DAVID GLEN MORDECAI
STOCKTON, CA
NPI
1679738876
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2008-07-28
Last Update Date
2008-07-28
Business Address
-- DAVID GLEN MORDECAI
1212 N CALIFORNIA ST
STOCKTON, CA 95202-1552
Phone number: 209-468-8686
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Mailing Address
-- DAVID GLEN MORDECAI
1212 N CALIFORNIA ST
STOCKTON, CA 95202-1552
Phone number: 209-468-8686
Copy
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