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1356413926
ELLEN ROSE MEDINA
CHULA VISTA, CA
NPI
1356413926
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2006-11-15
Last Update Date
2007-07-08
Business Address
-- ELLEN ROSE MEDINA
1105 BROADWAY STE 206
CHULA VISTA, CA 91911-2767
Phone number: 619-426-4872
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Mailing Address
-- ELLEN ROSE MEDINA
1105 BROADWAY STE 206
CHULA VISTA, CA 91911-2767
Phone number: 619-426-4872
Copy
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