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1013042217
DEIDRA RENEE NEWVILLE
PASADENA, CA
NPI
1013042217
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2007-02-21
Last Update Date
2007-07-08
Business Address
-- DEIDRA RENEE NEWVILLE
447 N EL MOLINO AVE
PASADENA, CA 91101-1403
Phone number: 626-577-8480
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Mailing Address
-- DEIDRA RENEE NEWVILLE
447 N EL MOLINO AVE
PASADENA, CA 91101-1403
Phone number: 626-577-8480
Copy
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