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1194013730
NICOLE YVETTE ALLEN
MODESTO, CA
NPI
1194013730
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2011-07-18
Last Update Date
2011-07-18
Business Address
Ms. NICOLE YVETTE ALLEN
103 MODESTO AVE
MODESTO, CA 95354-0414
Phone number: 209-527-4597
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Mailing Address
Ms. NICOLE YVETTE ALLEN
103 MODESTO AVE
MODESTO, CA 95354-0414
Phone number:
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