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1952912628
DENNIS KELVIN MUKES
VALLEJO, CA
NPI
1952912628
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2020-08-14
Last Update Date
2020-08-14
Business Address
DENNIS KELVIN MUKES
627 GRANT ST
VALLEJO, CA 94590-7228
Phone number: 707-553-1042
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Mailing Address
DENNIS KELVIN MUKES
922 PINE ST
VALLEJO, CA 94590-7811
Phone number:
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