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1114579141
GINA LERAY FASOLINO
CHICO, CA
NPI
1114579141
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2019-07-10
Last Update Date
2019-07-10
Business Address
Ms. GINA LERAY FASOLINO
560 COHASSET RD STE 180
CHICO, CA 95926-2460
Phone number: 530-891-2810
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Mailing Address
Ms. GINA LERAY FASOLINO
2002 HUNTINGTON DR APT 51
CHICO, CA 95928-7675
Phone number: 530-783-9461
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