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1639874589
ENA IVETT MEJIA VIDRIO
SANTA CRUZ, CA
NPI
1639874589
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CA 16408-RAC)
Enumeration Date
2023-03-31
Last Update Date
2023-03-31
Business Address
ENA IVETT MEJIA VIDRIO
707 FAIR AVE
SANTA CRUZ, CA 95060-5828
Phone number: 831-427-1007
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Mailing Address
ENA IVETT MEJIA VIDRIO
707 FAIR AVE
SANTA CRUZ, CA 95060-5828
Phone number: 831-427-1007
Copy
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