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1326170945
MICHELLE DIANE HANNINK
MODESTO, CA
NPI
1326170945
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: CA IMF 54366)
Enumeration Date
2007-03-09
Last Update Date
2009-05-22
Business Address
-- MICHELLE DIANE HANNINK
140 CALAVERAS AVE
MODESTO, CA 95354-3621
Phone number: 209-550-5858
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Mailing Address
-- MICHELLE DIANE HANNINK
1292 PASEO BELLEZA
TURLOCK, CA 95382-7396
Phone number:
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