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1043363153
PHYLLIS ANN BAINES
FAIRFIELD, CA
NPI
1043363153
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CA IMF 47731)
Enumeration Date
2007-01-19
Last Update Date
2007-07-08
Business Address
Ms. PHYLLIS ANN BAINES MA, IMF
2500 N TEXAS ST STE A
FAIRFIELD, CA 94533-1639
Phone number: 707-428-4198
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Mailing Address
Ms. PHYLLIS ANN BAINES MA, IMF
2500 N TEXAS ST STE A
FAIRFIELD, CA 94533-1639
Phone number: 707-428-4198
Copy
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