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1871757542
JUSTIN R DECKERT
STOCKTON, CA
NPI
1871757542
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2008-07-11
Last Update Date
2024-01-12
Business Address
Mr. JUSTIN R DECKERT
1212 N CALIFORNIA ST
STOCKTON, CA 95202-1552
Phone number: 209-468-8686
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Mailing Address
Mr. JUSTIN R DECKERT
1212 N CALIFORNIA ST
STOCKTON, CA 95202-1552
Phone number:
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