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1912048059
MICHELLE MANDAP
PASADENA, CA
NPI
1912048059
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA vn193118)
Enumeration Date
2007-02-10
Last Update Date
2007-07-08
Business Address
Ms. MICHELLE MANDAP LVN
1724 E WASHINGTON BLVD
PASADENA, CA 91104-2751
Phone number: 626-794-1161
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Mailing Address
Ms. MICHELLE MANDAP LVN
2131 CRAWFORD AVE
ALTADENA, CA 91001-2429
Phone number: 323-839-2981
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