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1932986882
JUSTIN PRICE
MODESTO, CA
NPI
1932986882
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2023-09-13
Last Update Date
2023-09-13
Business Address
JUSTIN PRICE
1028 RENO AVE
MODESTO, CA 95351-1127
Phone number: 209-579-1151
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Mailing Address
JUSTIN PRICE
621 15TH ST APT 3
MODESTO, CA 95354-2545
Phone number:
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