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1285852905
LETICIA MIA DEANDA
FRESNO, CA
NPI
1285852905
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-04-20
Last Update Date
2007-07-08
Business Address
-- LETICIA MIA DEANDA
5624 E BERNADINE DR
FRESNO, CA 93727-7231
Phone number: 559-292-1647
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Mailing Address
-- LETICIA MIA DEANDA
5624 E BERNADINE DR
FRESNO, CA 93727-7231
Phone number: 559-292-1647
Copy
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