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1306393608
SELENA M ORTIZ
FRESNO, CA
NPI
1306393608
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2016-09-02
Last Update Date
2016-09-02
Business Address
-- SELENA M ORTIZ
7485 N PALM AVE
FRESNO, CA 93711-5764
Phone number: 559-221-8100
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Mailing Address
-- SELENA M ORTIZ
680 I ST
PARLIER, CA 93648-2013
Phone number: 559-217-1598
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