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1881717411
ANNALISA C POTTER
STOCKTON, CA
NPI
1881717411
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-04-09
Last Update Date
2007-07-08
Business Address
-- ANNALISA C POTTER
620 N AURORA ST STE 2
STOCKTON, CA 95202-2276
Phone number: 209-468-9600
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Mailing Address
-- ANNALISA C POTTER
PO BOX 692823
STOCKTON, CA 95269-2823
Phone number: 209-952-2536
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