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1689068256
KENNETH LINDBERG
STOCKTON, CA
NPI
1689068256
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2015-03-23
Last Update Date
2015-03-23
Business Address
-- KENNETH LINDBERG
8626 LOWER SACRAMENTO RD
STOCKTON, CA 95210-1835
Phone number: 209-478-2487
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Mailing Address
-- KENNETH LINDBERG
8626 LOWER SACRAMENTO RD
STOCKTON, CA 95210-1835
Phone number: 209-478-2487
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