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1235478769
MARIO AREVALO
FRESNO, CA
NPI
1235478769
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
167G00000X Licensed Psychiatric Technician
(Licence: CA PT 36676)
Enumeration Date
2013-02-04
Last Update Date
2013-02-04
Business Address
MR. MARIO AREVALO
1225 M ST CORRECTIONAL HEALTH, 2ND FLOOR
FRESNO, CA 93721-1805
Phone number: 559-600-9352
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Mailing Address
MR. MARIO AREVALO
PO BOX 11867 CORRECTIONAL HEALTH DIVISION
FRESNO, CA 93775-1867
Phone number: 559-600-3229
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