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1790228781
REBECCA PHONGSA
STOCKTON, CA
NPI
1790228781
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2016-11-23
Last Update Date
2016-11-23
Business Address
-- REBECCA PHONGSA
1947 NORTH CALFORNIA STREET SUITE B
STOCKTON, CA 95204
Phone number: 209-463-0870
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Mailing Address
-- REBECCA PHONGSA
1947 NORTH CALFORNIA STREET SUITE B
STOCKTON, CA 95204
Phone number: 209-463-0870
Copy
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