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1194212076
DIANA KRYSTAL ROSS
HOLLISTER, CA
NPI
1194212076
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2018-04-17
Last Update Date
2018-04-20
Business Address
DIANA KRYSTAL ROSS
1850 SAN BENITO ST.
HOLLISTER, CA 95023
Phone number: 831-636-2121
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Mailing Address
DIANA KRYSTAL ROSS
PO BOX 1269
HOLLISTER, CA 95024-1269
Phone number:
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