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1023115649
GLADYS GLORIA YANEZ
TUSTIN, CA
NPI
1023115649
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA y0503161919)
Enumeration Date
2006-09-17
Last Update Date
2007-07-08
Business Address
-- GLADYS GLORIA YANEZ MH
130 S A ST
TUSTIN, CA 92780-3685
Phone number: 714-573-1567
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Mailing Address
-- GLADYS GLORIA YANEZ MH
130 S A ST
TUSTIN, CA 92780-3685
Phone number: 714-573-1567
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