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1790905263
MARAYAH LANE
FRESNO, CA
NPI
1790905263
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-04-26
Last Update Date
2007-07-08
Business Address
-- MARAYAH LANE
4944 E CLINTON WAY SUITE 101
FRESNO, CA 93727-1527
Phone number: 559-251-4800
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Mailing Address
-- MARAYAH LANE
PO BOX 9092
FRESNO, CA 93790-9092
Phone number:
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