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1710227004
ANDREA ROSEMARY MEDINA
GRASS VALLEY, CA
NPI
1710227004
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA IMF 67037)
Enumeration Date
2013-02-22
Last Update Date
2019-11-19
Business Address
ANDREA ROSEMARY MEDINA
714 W MAIN ST
GRASS VALLEY, CA 95945-6410
Phone number: 530-477-9800
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Mailing Address
ANDREA ROSEMARY MEDINA
PO BOX 266
ELMIRA, CA 95625-0266
Phone number: 707-365-2847
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