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1689239600
NICHOLE MONIQUE MCINTIRE
SAN PEDRO, CA
NPI
1689239600
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-05-06
Last Update Date
2019-05-06
Business Address
NICHOLE MONIQUE MCINTIRE
235 W 9TH ST
SAN PEDRO, CA 90731-3711
Phone number: 310-521-9209
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Mailing Address
NICHOLE MONIQUE MCINTIRE
1621 W 226TH ST APT 4
TORRANCE, CA 90501-6627
Phone number: 424-407-5340
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