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1356819759
CHRISTINE MARIE MANCILLAS
VISALIA, CA
NPI
1356819759
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-11-05
Last Update Date
2018-11-05
Business Address
CHRISTINE MARIE MANCILLAS
1731 W WALNUT AVE
VISALIA, CA 93277-6232
Phone number: 559-732-4885
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Mailing Address
CHRISTINE MARIE MANCILLAS
1731 W WALNUT AVE
VISALIA, CA 93277-6232
Phone number: 559-732-4885
Copy
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