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1932322179
GLENN ALEXANDER ST. JOHN
STOCKTON, CA
NPI
1932322179
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA S0412231140)
Enumeration Date
2007-04-10
Last Update Date
2007-07-08
Business Address
Mr. GLENN ALEXANDER ST. JOHN RAS
222 E WEBER AVE
STOCKTON, CA 95202-2709
Phone number: 209-468-8262
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Mailing Address
Mr. GLENN ALEXANDER ST. JOHN RAS
2074 MICHIGAN AVE
STOCKTON, CA 95204-4145
Phone number: 209-943-2028
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