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1093272056
URSALA MERICE MADRIGAL
SANTA MARIA, CA
NPI
1093272056
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 9104)
Enumeration Date
2019-02-26
Last Update Date
2019-02-26
Business Address
URSALA MERICE MADRIGAL SUDRC 9104
401 W MORRISON AVE STE B
SANTA MARIA, CA 93458-6124
Phone number: 805-347-3338
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Mailing Address
URSALA MERICE MADRIGAL SUDRC 9104
245 INGER DR STE 103B
SANTA MARIA, CA 93454-8669
Phone number: 805-346-8185
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