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1164726790
REYNA EDITH NIEVES
MERCED, CA
NPI
1164726790
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2010-12-22
Last Update Date
2010-12-22
Business Address
-- REYNA EDITH NIEVES
1343 W MAIN ST SUITE A & B
MERCED, CA 95340-4438
Phone number: 209-725-1061
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Mailing Address
-- REYNA EDITH NIEVES
175 CHARDONNAY ST
LOS BANOS, CA 93635-6331
Phone number: 209-587-3264
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