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1902364706
MIRANDA AVALOS
VISTA, CA
NPI
1902364706
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-03-11
Last Update Date
2019-03-11
Business Address
MIRANDA AVALOS
993 POSTAL WAY
VISTA, CA 92083-6945
Phone number: 760-630-9922
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Mailing Address
MIRANDA AVALOS
993 POSTAL WAY
VISTA, CA 92083-6945
Phone number:
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