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1982724027
DEBRA NYSTROM
APPLE VALLEY, CA
NPI
1982724027
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CA MFC31725)
Enumeration Date
2007-03-30
Last Update Date
2019-09-04
Business Address
DEBRA NYSTROM MFT
20601 US HIGHWAY 18 STE 158
APPLE VALLEY, CA 92307-3567
Phone number: 760-946-2804
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Mailing Address
DEBRA NYSTROM MFT
20258 US HIGHWAY 18 STE 430-449
APPLE VALLEY, CA 92307-6197
Phone number: 760-946-2804
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