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Organization

REGENERATIONS CANCER WELLNESS FOUNDATION

Active
Other names
Regenerations Wellness Cancer Foundation
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. STARR CARSON CLEARY MFT, CES, MFT, (PRESIDENT)
(209) 827-1960
Entity
Organization

Contact information

Practice address
1032 KEIKO ST, LOS BANOS, CA 93635-5213
(209) 827-1960
Mailing address
PO BOX 186, 1032 KEIKO STREET, LOS BANOS, CA 93635-0186
(209) 827-1960

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
CA
251300000X
Local Education Agency (LEA)
CA
251K00000X
Public Health or Welfare Agency
CA

Other

Enumeration date
10/24/2011
Last updated
10/24/2011
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