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1821519133
DANNY A. VIVEROS
STOCKTON, CA
NPI
1821519133
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2017-06-28
Last Update Date
2017-07-10
Business Address
DANNY A. VIVEROS
6518 CRESTVIEW CIR
STOCKTON, CA 95219-7197
Phone number: 209-361-2738
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Mailing Address
DANNY A. VIVEROS
1111 NORTH EL DORADO STREET
STOCKTON, CA 95202
Phone number: 209-938-0228
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