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1467023911
DEONDRE LOVELL CUMMINGS
MERCED, CA
NPI
1467023911
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2021-07-06
Last Update Date
2021-07-06
Business Address
DEONDRE LOVELL CUMMINGS
1343 W MAIN ST
MERCED, CA 95340-4438
Phone number: 209-725-1060
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Mailing Address
DEONDRE LOVELL CUMMINGS
142 N SANTA ROSA ST
LOS BANOS, CA 93635-3233
Phone number: 408-242-1224
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