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1801918933
MARCIAL RAYA JIMENEZ
STOCKTON, CA
NPI
1801918933
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA j0503011401)
Enumeration Date
2007-04-06
Last Update Date
2007-07-08
Business Address
Mr. MARCIAL RAYA JIMENEZ
56 S LINCOLN ST
STOCKTON, CA 95203-3100
Phone number: 209-468-3560
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Mailing Address
Mr. MARCIAL RAYA JIMENEZ
217 E LA MESA AVE
STOCKTON, CA 95207-3049
Phone number: 209-468-3560
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