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1326651399
SAMUEL JESSE VILLA
FRESNO, CA
NPI
1326651399
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: CA 106774)
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2020-08-28
Last Update Date
2023-06-01
Business Address
SAMUEL JESSE VILLA
3451 W SHAW AVE
FRESNO, CA 93711-3242
Phone number: 559-314-3519
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Mailing Address
SAMUEL JESSE VILLA
4546 W MONTE VERDE AVE
VISALIA, CA 93277-8894
Phone number: 559-623-4139
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