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1972094597
MARIAH MICHELLE DAVILA
HANFORD, CA
NPI
1972094597
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
167G00000X Licensed Psychiatric Technician
(Licence: CA 38198)
Enumeration Date
2018-05-21
Last Update Date
2018-05-21
Business Address
MARIAH MICHELLE DAVILA PT
1529 W SIDONIA ST
HANFORD, CA 93230
Phone number: 559-670-4748
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Mailing Address
MARIAH MICHELLE DAVILA PT
4411 E KINGS CANYON RD # 319
FRESNO, CA 93702-3604
Phone number: 559-892-1128
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