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1790036531
DOREIDY SANDOVAL
STOCKTON, CA
NPI
1790036531
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2012-09-19
Last Update Date
2012-09-19
Business Address
-- DOREIDY SANDOVAL
1414 N CALIFORNIA ST
STOCKTON, CA 95202-1515
Phone number: 209-468-2385
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Mailing Address
-- DOREIDY SANDOVAL
1414 N CALIFORNIA ST
STOCKTON, CA 95202-1515
Phone number: 209-468-2385
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