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1669911947
MYA LOUELL MALIXI
BAKERSFIELD, CA
NPI
1669911947
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 10426-R)
Enumeration Date
2017-02-19
Last Update Date
2017-03-31
Business Address
-- MYA LOUELL MALIXI
1018 21ST ST
BAKERSFIELD, CA 93301-4709
Phone number: 661-861-9967
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Mailing Address
-- MYA LOUELL MALIXI
1018 21ST ST
BAKERSFIELD, CA 93301-4709
Phone number: 661-861-9967
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