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1730695875
SAN VINH LUU
STOCKTON, CA
NPI
1730695875
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Additional Taxonomies
104100000X Social Worker
Enumeration Date
2017-12-27
Last Update Date
2023-12-14
Business Address
SAN VINH LUU BA
4422 N PERSHING AVE
STOCKTON, CA 95207-6954
Phone number: 209-475-9454
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Mailing Address
SAN VINH LUU BA
1212 N CALIFORNIA ST
STOCKTON, CA 95202-1552
Phone number: 209-468-8700
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