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1245050913
MIRANDA MARTINEZ SANDOVAL
VISALIA, CA
NPI
1245050913
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1563330624)
Enumeration Date
2024-10-16
Last Update Date
2024-10-16
Business Address
MIRANDA MARTINEZ SANDOVAL
1425 E WALNUT AVE
VISALIA, CA 93292-1415
Phone number: 559-625-4072
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Mailing Address
MIRANDA MARTINEZ SANDOVAL
1425 E WALNUT AVE
VISALIA, CA 93292-1415
Phone number: 559-625-4072
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