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1922130558
BEN RODRIGUEZ
MODESTO, CA
NPI
1922130558
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA RASi-051081)
Enumeration Date
2007-03-09
Last Update Date
2007-07-08
Business Address
-- BEN RODRIGUEZ
800 SCENIC DR BLDG 4
MODESTO, CA 95350-6131
Phone number: 209-525-6146
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Mailing Address
-- BEN RODRIGUEZ
800 SCENIC DR
MODESTO, CA 95350-6131
Phone number: 209-525-6146
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