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1366047029
MELLISSA R GUTIERREZ
COLTON, CA
NPI
1366047029
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2020-12-01
Last Update Date
2020-12-01
Business Address
MELLISSA R GUTIERREZ
2275 E COOLEY DR
COLTON, CA 92324-6324
Phone number: 909-370-1777
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Mailing Address
MELLISSA R GUTIERREZ
25180 5TH ST APT 180
SAN BERNARDINO, CA 92410-5162
Phone number: 909-835-8919
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