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1639427834
JEANNINE MILLIS
SAN PABLO, CA
NPI
1639427834
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2012-08-17
Last Update Date
2012-08-17
Business Address
-- JEANNINE MILLIS
1515 MARKET AVE
SAN PABLO, CA 94806-4357
Phone number: 510-232-7571
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Mailing Address
-- JEANNINE MILLIS
1515 MARKET AVE
SAN PABLO, CA 94806-4357
Phone number: 510-232-7571
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