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1861220105
YEB RAVEN
SONORA, CA
NPI
1861220105
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Entity Type
Individual
Gender
N/A
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: 16888)
Enumeration Date
2024-07-25
Last Update Date
2024-07-25
Business Address
YEB RAVEN APPC
905 MONO WAY
SONORA, CA 95370-5206
Phone number: 209-928-5461
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Mailing Address
YEB RAVEN APPC
299 BONANZA RD
SONORA, CA 95370-5551
Phone number: 209-890-7459
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