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1518511500
SALLY MIRELES
COACHELLA, CA
NPI
1518511500
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1332981218)
Enumeration Date
2019-07-29
Last Update Date
2020-08-21
Business Address
Miss SALLY MIRELES RADT
84109 LA JOLLA
COACHELLA, CA 92236
Phone number: 760-333-9999
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Mailing Address
Miss SALLY MIRELES RADT
1612 FIRST ST
COACHELLA, CA 92236
Phone number: 760-698-9000
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