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1659405769
NASA DURRELL JAMES
FRESNO, CA
NPI
1659405769
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2007-03-14
Last Update Date
2021-10-21
Business Address
Mr. NASA DURRELL JAMES
3133 N MILLBROOK AVE
FRESNO, CA 93703-1425
Phone number: 559-600-9180
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Mailing Address
Mr. NASA DURRELL JAMES
3133 N MILLBROOK AVE
FRESNO, CA 93703-1425
Phone number: 559-600-9180
Copy
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