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1740473503
MARK FLEMING
MODESTO, CA
NPI
1740473503
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 1740320019)
Enumeration Date
2007-08-23
Last Update Date
2007-08-23
Business Address
Mr. MARK FLEMING AOD Counselor
330 MCHENRY AVE
MODESTO, CA 95354-0561
Phone number: 209-577-3595
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Mailing Address
Mr. MARK FLEMING AOD Counselor
330 MCHENRY AVE
MODESTO, CA 95354-0561
Phone number: 209-577-3595
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