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1831809383
AUGUSTINE VALENZUELA
FRENCH CAMP, CA
NPI
1831809383
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 14078)
Enumeration Date
2022-11-23
Last Update Date
2022-11-23
Business Address
AUGUSTINE VALENZUELA
500 W HOSPITAL RD
FRENCH CAMP, CA 95231-9693
Phone number: 209-468-6857
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Mailing Address
AUGUSTINE VALENZUELA
1849 W FLORA ST
STOCKTON, CA 95203-1432
Phone number: 209-513-3245
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