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1902561343
WASIM MASOOD
LODI, CA
NPI
1902561343
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 3913)
Enumeration Date
2021-11-01
Last Update Date
2021-11-01
Business Address
WASIM MASOOD
541 S HAM LN STE AANDB
LODI, CA 95242-3530
Phone number: 209-553-0798
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Mailing Address
WASIM MASOOD
541 S HAM LN STE AANDB
LODI, CA 95242-3530
Phone number: 209-553-0798
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