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1124476288
DORIS MESA MENDIOLA
VALLEJO, CA
NPI
1124476288
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CA 7337-R)
Enumeration Date
2016-05-31
Last Update Date
2017-01-01
Business Address
DORIS MESA MENDIOLA CATC 7337-R
1149 WARREN AVE
VALLEJO, CA 94591-7512
Phone number: 707-552-5295
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Mailing Address
DORIS MESA MENDIOLA CATC 7337-R
1149 WARREN AVE
VALLEJO, CA 94591-7512
Phone number: 707-552-5295
Copy
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