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1174704613
ERICKA I MANRIQUE
VENTURA, CA
NPI
1174704613
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-11-26
Last Update Date
2007-11-26
Business Address
-- ERICKA I MANRIQUE
955 E THOMPSON BLVD
VENTURA, CA 93001-3008
Phone number: 805-641-9100
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Mailing Address
-- ERICKA I MANRIQUE
723 PIVOT POINT WAY
OXNARD, CA 93035-1557
Phone number: 805-901-7648
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