Golden State Therapy Center

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NPI Provider: 1720085343
Contact Name: Russell Lyman Frank
Position: Administrator
Phone: (209) 369-6996

Golden State Therapy Center Information:

Golden State Therapy Center organization have npi 1720085343, taxonomy code is 261QR0401X with license number is 3016 in . This Business address located in 1235 W Vine St, Lodi, CA 95240 California. Get directions of Golden State Therapy Center.

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Practice Location
Address: 1235 W Vine St, Lodi, CA 95240
Phone: (209) 369-6996

Business Location

Address: 1235 W Vine St, Lodi, CA 95240

Phone: (209) 369-6996

Fax: (209) 369-6980

Taxonomy

Taxonomy Code: 261QR0401X

License Number: 3016

License Number of State: CA

Primary Taxonomy Switch: Y

Enumeration Date: 6/29/2005

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