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1003396201
BALDIVENIA PEREZ
EL CAJON, CA
NPI
1003396201
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2018-08-16
Last Update Date
2018-08-16
Business Address
BALDIVENIA PEREZ
1000 BROADWAY STE 100
EL CAJON, CA 92021-4899
Phone number: 619-401-5424
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Mailing Address
BALDIVENIA PEREZ
3756 40TH ST
SAN DIEGO, CA 92105-2422
Phone number: 619-724-9444
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