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1679978472
YERALDINE AVILA
VALLEJO, CA
NPI
1679978472
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA RI-A1408021338)
Enumeration Date
2014-10-23
Last Update Date
2014-10-23
Business Address
-- YERALDINE AVILA
1149 WARREN AVE
VALLEJO, CA 94591
Phone number: 707-552-5295
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Mailing Address
-- YERALDINE AVILA
1149 WARREN AVE
VALLEJO, CA 94591
Phone number: 707-552-5295
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