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1952710907
ISAAC BLACKSTOCK
WOODLAND, CA
NPI
1952710907
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2014-08-04
Last Update Date
2014-08-04
Business Address
-- ISAAC BLACKSTOCK
168 COLLEGE ST
WOODLAND, CA 95695-3263
Phone number: 530-666-7798
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Mailing Address
-- ISAAC BLACKSTOCK
168 COLLEGE ST
WOODLAND, CA 95695-3263
Phone number:
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