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1972208965
MANUEL AMADO MEDINA
FAIRFIELD, CA
NPI
1972208965
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2023-03-31
Last Update Date
2023-03-31
Business Address
MANUEL AMADO MEDINA
101 BODIN CIR
FAIRFIELD, CA 94535-1809
Phone number: 707-423-5173
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Mailing Address
MANUEL AMADO MEDINA
468 CRIMSON CIR
VACAVILLE, CA 95687-7631
Phone number: 609-283-6188
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