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1417289430
NINA E REYNOSO
SANTA ROSA, CA
NPI
1417289430
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: CA 31183)
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2010-02-01
Last Update Date
2015-06-18
Business Address
-- NINA E REYNOSO
3322 CHANATE RD
SANTA ROSA, CA 95404-1707
Phone number: 707-565-4991
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Mailing Address
-- NINA E REYNOSO
3322 CHANATE RD
SANTA ROSA, CA 95404-1708
Phone number: 707-565-4991
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