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1265194740
CRYSTAL PURECO-CARMONA
FRESNO, CA
NPI
1265194740
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Additional Taxonomies
103TA0400X Psychologist, Addiction (Substance Use Disorder)
Enumeration Date
2021-10-12
Last Update Date
2021-10-12
Business Address
CRYSTAL PURECO-CARMONA
4575 E TERRACE AVE
FRESNO, CA 93703-2052
Phone number: 559-375-6822
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Mailing Address
CRYSTAL PURECO-CARMONA
4575 E TERRACE AVE
FRESNO, CA 93703-2052
Phone number: 559-375-6822
Copy
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