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1124390794
MONALISA CHACON AVILA
CORCORAN, CA
NPI
1124390794
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist Clinical
(Licence: CA PSY 23517)
Enumeration Date
2012-01-30
Last Update Date
2012-01-30
Business Address
DR. MONALISA CHACON AVILA PSYD
900 QUEBEC AVE.
CORCORAN, CA 93212-7100
Phone number: 559-992-7100
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Mailing Address
DR. MONALISA CHACON AVILA PSYD
748 W ENTERPRISE AVE
CLOVIS, CA 93619-4839
Phone number: 559-323-6796
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