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1366115099
SOPHIA BASURTO MCDAVIS
SAN BERNARDINO, CA
NPI
1366115099
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2021-07-28
Last Update Date
2021-08-25
Business Address
SOPHIA BASURTO MCDAVIS
572 N ARROWHEAD AVE
SAN BERNARDINO, CA 92401-1251
Phone number: 909-266-2700
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Mailing Address
SOPHIA BASURTO MCDAVIS
572 N ARROWHEAD AVE
SAN BERNARDINO, CA 92401-1251
Phone number: 909-266-2700
Copy
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