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1184903148
MAIRA VILLA
FRESNO, CA
NPI
1184903148
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: CA 941719862)
Enumeration Date
2011-08-09
Last Update Date
2011-10-10
Business Address
Miss MAIRA VILLA BA
3467 W SHAW AVE STE 101
FRESNO, CA 93711-3223
Phone number: 559-271-3096
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Mailing Address
Miss MAIRA VILLA BA
537 W COSTNER ST
FARMERSVILLE, CA 93223-1406
Phone number: 559-303-9174
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