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1578916946
GENE ESTRADA GARCIA
SPRINGFIELD, MO
NPI
1578916946
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MO 2016019480)
Enumeration Date
2016-07-20
Last Update Date
2023-11-13
Business Address
GENE ESTRADA GARCIA
1212 W LOMBARD ST
SPRINGFIELD, MO 65806-2720
Phone number: 417-982-7645
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Mailing Address
GENE ESTRADA GARCIA
801 W BLUEGRASS RD
STRAFFORD, MO 65757-9413
Phone number: 417-658-5409
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