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Individual

BHIPIN B PRASAD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
10898 BOESSOW RD, GALT, CA 95632-8451
(209) 412-2389
Mailing address
2701 MARLBORO PL, MODESTO, CA 95355-4641
(209) 635-0059

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CA

Other

Enumeration date
01/14/2025
Last updated
01/14/2025
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