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1700307774
JESSICA MARIE NORTHRUP
FRESNO, CA
NPI
1700307774
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2017-06-29
Last Update Date
2017-06-29
Business Address
JESSICA MARIE NORTHRUP
7485 N PALM AVE STE 103
FRESNO, CA 93711-5764
Phone number: 559-221-8100
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Mailing Address
JESSICA MARIE NORTHRUP
7485 N PALM AVE STE 103
FRESNO, CA 93711-5764
Phone number:
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