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1780061895
IVEIT HIDO
MODESTO, CA
NPI
1780061895
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2015-04-28
Last Update Date
2016-03-01
Business Address
-- IVEIT HIDO
1235 MCHENRY AVE STE AANDB
MODESTO, CA 95350-5370
Phone number: 209-247-8011
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Mailing Address
-- IVEIT HIDO
1235 MCHENRY AVE STE AANDB
MODESTO, CA 95350-5370
Phone number: 209-247-8011
Copy
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