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1578082616
SHYBRA LANISE EDWARDS
VISALIA, CA
NPI
1578082616
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2017-09-09
Last Update Date
2017-09-09
Business Address
SHYBRA LANISE EDWARDS
1425 E WALNUT AVE
VISALIA, CA 93292-1415
Phone number: 559-625-4072
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Mailing Address
SHYBRA LANISE EDWARDS
855 W VISALIA RD APT 27
EXETER, CA 93221-1091
Phone number: 559-358-8806
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