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1962068841
FERNANDO OCTAVIO DE ALBA
STOCKTON, CA
NPI
1962068841
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2019-05-15
Last Update Date
2021-02-23
Business Address
FERNANDO OCTAVIO DE ALBA
1212 N CALIFORNIA ST
STOCKTON, CA 95202-1552
Phone number: 209-468-8686
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Mailing Address
FERNANDO OCTAVIO DE ALBA
2495 W MARCH LN
STOCKTON, CA 95207-8251
Phone number: 209-465-1080
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