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1952692006
DAVID REYES
MODESTO, CA
NPI
1952692006
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2011-04-25
Last Update Date
2011-04-25
Business Address
Mr. DAVID REYES BA
103 MODESTO AVE
MODESTO, CA 95354-0414
Phone number: 209-527-4597
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Mailing Address
Mr. DAVID REYES BA
3080 KELLOGG AVE
TURLOCK, CA 95382-1216
Phone number:
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