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1881046860
MISTY RUPP
FAIRFIELD, CA
NPI
1881046860
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1230106516)
Enumeration Date
2016-07-01
Last Update Date
2016-07-01
Business Address
-- MISTY RUPP
1143 MISSOURI ST
FAIRFIELD, CA 94533-6007
Phone number: 707-435-9911
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Mailing Address
-- MISTY RUPP
1143 MISSOURI ST
FAIRFIELD, CA 94533-6007
Phone number:
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