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1063299394
MELYNDA LILES
MANTECA, CA
NPI
1063299394
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2023-09-11
Last Update Date
2024-07-05
Business Address
MELYNDA LILES
302 CHERRY LN STE 101
MANTECA, CA 95337-4311
Phone number: 209-647-6200
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Mailing Address
MELYNDA LILES
302 CHERRY LN STE 101
MANTECA, CA 95337-4311
Phone number: 209-647-6400
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