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1457135253
TERRA MENDES
MODESTO, CA
NPI
1457135253
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2023-08-22
Last Update Date
2023-08-22
Business Address
TERRA MENDES
1235 MCHENRY AVE
MODESTO, CA 95350-5370
Phone number: 209-527-4597
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Mailing Address
TERRA MENDES
1235 MCHENRY AVE
MODESTO, CA 95350-5370
Phone number: 209-527-4597
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