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1922550201
SEAN POWERS
MODESTO, CA
NPI
1922550201
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2016-11-02
Last Update Date
2016-11-02
Business Address
-- SEAN POWERS
100 POPLAR AVE
MODESTO, CA 95354-0510
Phone number: 209-523-4573
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Mailing Address
-- SEAN POWERS
100 POPLAR AVE
MODESTO, CA 95354-0510
Phone number: 209-523-4573
Copy
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