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1386285039
ISELA GRADILLA
VALLEJO, CA
NPI
1386285039
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1366201019)
Enumeration Date
2019-10-03
Last Update Date
2019-10-03
Business Address
ISELA GRADILLA
1149 WARREN AVE
VALLEJO, CA 94591-7512
Phone number: 707-552-5295
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Mailing Address
ISELA GRADILLA
1149 WARREN AVE
VALLEJO, CA 94591-7512
Phone number: 707-552-5295
Copy
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