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1295124972
LISA MAIRE MICHEL
ANTIOCH, CA
NPI
1295124972
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2015-01-17
Last Update Date
2015-01-17
Business Address
-- LISA MAIRE MICHEL
1401 W 4TH ST
ANTIOCH, CA 94509-1024
Phone number: 925-778-3750
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Mailing Address
-- LISA MAIRE MICHEL
4710 BROOMTAIL CT
ANTIOCH, CA 94531-9305
Phone number: 916-390-0242
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