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1992869002
SARA MIZBAN
VALLEJO, CA
NPI
1992869002
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2006-12-21
Last Update Date
2007-07-08
Business Address
-- SARA MIZBAN
408 TENNESSEE ST
VALLEJO, CA 94590-4453
Phone number: 707-554-2397
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Mailing Address
-- SARA MIZBAN
309 63RD ST APT C
OAKLAND, CA 94618-1265
Phone number: 510-428-1913
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