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1033820006
KASANDRA EDITH BLANCO
CHULA VISTA, CA
NPI
1033820006
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2022-12-09
Last Update Date
2022-12-09
Business Address
KASANDRA EDITH BLANCO
1161 BAY BLVD STE B
CHULA VISTA, CA 91911-2670
Phone number: 619-585-7686
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Mailing Address
KASANDRA EDITH BLANCO
1161 BAY BLVD STE B
CHULA VISTA, CA 91911-2670
Phone number: 619-585-7686
Copy
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