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1760893226
MARYFATIMA MEDINA
FAIRFIELD, CA
NPI
1760893226
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2014-05-17
Last Update Date
2014-08-27
Business Address
-- MARYFATIMA MEDINA
275 BECK AVE
FAIRFIELD, CA 94533-6804
Phone number: 707-784-8139
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Mailing Address
-- MARYFATIMA MEDINA
275 BECK AVE
FAIRFIELD, CA 94533-6804
Phone number: 707-784-8139
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