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1386855229
CONNIE S MAYNARD
VISALIA, CA
NPI
1386855229
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-05-24
Last Update Date
2007-07-08
Business Address
Ms. CONNIE S MAYNARD
1300 S CROWE ST
VISALIA, CA 93277-2106
Phone number: 559-734-5480
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Mailing Address
Ms. CONNIE S MAYNARD
2049 S GIDDINGS ST
VISALIA, CA 93277-6338
Phone number: 559-734-5270
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