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1790287944
JESSICA LYNN ANDERSONBAKER
MODESTO, CA
NPI
1790287944
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-03-04
Last Update Date
2018-03-04
Business Address
JESSICA LYNN ANDERSONBAKER
1235 MCHENRY AVE STE A
MODESTO, CA 95350-5370
Phone number: 254-368-7158
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Mailing Address
JESSICA LYNN ANDERSONBAKER
1235 MCHENRY AVE STE A
MODESTO, CA 95350-5370
Phone number:
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