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1306501598
DEZIRAE MARIE MANRIQUEZ
MARINA, CA
NPI
1306501598
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2021-11-03
Last Update Date
2023-05-10
Business Address
DEZIRAE MARIE MANRIQUEZ
299 12TH ST STE B
MARINA, CA 93933-6003
Phone number: 831-883-3030
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Mailing Address
DEZIRAE MARIE MANRIQUEZ
299 12TH ST STE B
MARINA, CA 93933-6003
Phone number: 831-883-3030
Copy
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