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1972751592
JENAE ELISE SPAIN
CHICO, CA
NPI
1972751592
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2008-09-08
Last Update Date
2008-09-08
Business Address
-- JENAE ELISE SPAIN
592 RIO LINDO AVE
CHICO, CA 95926-1817
Phone number: 530-891-2775
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Mailing Address
-- JENAE ELISE SPAIN
9472 SAN PAULO CIR
ELK GROVE, CA 95624-2129
Phone number: 916-690-0958
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