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1104152818
JENNIFER NICOLE ELIAS
HANFORD, CA
NPI
1104152818
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2009-10-30
Last Update Date
2009-10-30
Business Address
-- JENNIFER NICOLE ELIAS
410 E 7TH ST
HANFORD, CA 93230-4606
Phone number: 559-584-8100
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Mailing Address
-- JENNIFER NICOLE ELIAS
2047 CARTER WAY
HANFORD, CA 93230-1738
Phone number: 661-586-8131
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