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1497228381
MARISSA ALIZA ONTIVEROS
FRESNO, CA
NPI
1497228381
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2019-01-03
Last Update Date
2019-10-29
Business Address
MARISSA ALIZA ONTIVEROS
4411 E KINGS CANYON RD # 319
FRESNO, CA 93702-3604
Phone number: 559-600-2382
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Mailing Address
MARISSA ALIZA ONTIVEROS
3433 W SHAW AVE STE 102
FRESNO, CA 93711-3229
Phone number:
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