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1811016074
ANITA G PEREZ
MODESTO, CA
NPI
1811016074
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA RIP0702211314)
Enumeration Date
2007-03-28
Last Update Date
2007-07-08
Business Address
Miss ANITA G PEREZ RAS I
1100 KANSAS AVE STE A
MODESTO, CA 95351-1596
Phone number: 209-558-7475
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Mailing Address
Miss ANITA G PEREZ RAS I
1032 PETALUMA DR
MODESTO, CA 95351-1717
Phone number: 209-558-7475
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