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1649538067
LETICIA COSTILLA
FRESNO, CA
NPI
1649538067
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2012-04-24
Last Update Date
2012-05-15
Business Address
Ms. LETICIA COSTILLA CAS1
515 S CEDAR AVE
FRESNO, CA 93702-2908
Phone number: 559-600-8300
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Mailing Address
Ms. LETICIA COSTILLA CAS1
515 S CEDAR AVE
FRESNO, CA 93702-2908
Phone number: 559-600-8300
Copy
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