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1669811519
MAYRA IVON THRUSH
WHITTIER, CA
NPI
1669811519
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
324500000X Substance Abuse Rehabilitation Facility
(Licence: CA 1710076930)
Enumeration Date
2013-06-24
Last Update Date
2013-06-24
Business Address
-- MAYRA IVON THRUSH
12322 CLEARGLEN AVE
WHITTIER, CA 90604-3872
Phone number: 562-947-3835
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Mailing Address
-- MAYRA IVON THRUSH
12322 CLEARGLEN AVE
WHITTIER, CA 90604-3872
Phone number: 562-947-3835
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