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1760084123
FOLUSO DARAMOLA
FRESNO, CA
NPI
1760084123
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1378590220)
Enumeration Date
2020-11-11
Last Update Date
2020-11-11
Business Address
FOLUSO DARAMOLA
1310 M ST
FRESNO, CA 93721-1808
Phone number: 559-264-2700
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Mailing Address
FOLUSO DARAMOLA
695 W SANTA ANA AVE
CLOVIS, CA 93612-3451
Phone number: 559-885-4855
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