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1790546463
CARMEN TANEKA HAYNES
FRESNO, CA
NPI
1790546463
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2024-01-19
Last Update Date
2024-01-19
Business Address
CARMEN TANEKA HAYNES
1441 N GOLDEN STATE BLVD APT 32
FRESNO, CA 93728-1464
Phone number: 559-541-1827
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Mailing Address
CARMEN TANEKA HAYNES
1441 N GOLDEN STATE BLVD APT 32
FRESNO, CA 93728-1464
Phone number: 559-541-1827
Copy
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