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1053928739
COKELLY HERRERA
MODESTO, CA
NPI
1053928739
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2020-09-28
Last Update Date
2020-09-28
Business Address
COKELLY HERRERA
1235 MCHENRY AVE STE A
MODESTO, CA 95350-5370
Phone number: 209-527-4597
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Mailing Address
COKELLY HERRERA
PO BOX 511
GUSTINE, CA 95322-0511
Phone number:
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