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1316497365
MIRIAM BANUELOS
SACRAMENTO, CA
NPI
1316497365
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2016-10-13
Last Update Date
2016-10-13
Business Address
-- MIRIAM BANUELOS
2100 CAPITOL AVE
SACRAMENTO, CA 95816-5721
Phone number: 916-442-4985
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Mailing Address
-- MIRIAM BANUELOS
2100 CAPITOL AVE
SACRAMENTO, CA 95816-5721
Phone number:
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