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1992843700
NADINE ROSE IVORA
SANTA MARIA, CA
NPI
1992843700
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2007-02-02
Last Update Date
2007-07-08
Business Address
-- NADINE ROSE IVORA
1112 S BROADWAY
SANTA MARIA, CA 93454-6608
Phone number: 805-928-0139
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Mailing Address
-- NADINE ROSE IVORA
1112 S BROADWAY
SANTA MARIA, CA 93454-6608
Phone number: 805-928-0139
Copy
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