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1063906204
ITSEL CORONA MADRIGAL
WALLA WALLA, WA
NPI
1063906204
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2018-06-20
Last Update Date
2018-06-20
Business Address
ITSEL CORONA MADRIGAL
1520 KELLY PL STE 234
WALLA WALLA, WA 99362-8607
Phone number: 509-575-4084
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Mailing Address
ITSEL CORONA MADRIGAL
PO BOX 959
YAKIMA, WA 98907-0959
Phone number:
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