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1871781229
KATHY MARIE RUPE
MODESTO, CA
NPI
1871781229
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-10-11
Last Update Date
2007-10-11
Business Address
Ms. KATHY MARIE RUPE
103 MODESTO AVE
MODESTO, CA 95354-0414
Phone number: 209-527-4597
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Mailing Address
Ms. KATHY MARIE RUPE
1824 SKYLANE WAY
MODESTO, CA 95350-2654
Phone number: 209-522-0268
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