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1174879696
MICHANNE E BOHANON
FRESNO, CA
NPI
1174879696
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2012-08-02
Last Update Date
2012-08-02
Business Address
-- MICHANNE E BOHANON
3434 W SHAW AVE STE 101
FRESNO, CA 93711-3216
Phone number: 559-275-1784
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Mailing Address
-- MICHANNE E BOHANON
3434 W SHAW AVE STE 101
FRESNO, CA 93711-3216
Phone number: 559-275-1784
Copy
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