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1013530492
PATRICIA KING
COSTA MESA, CA
NPI
1013530492
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA A08730315)
Enumeration Date
2020-05-20
Last Update Date
2020-05-20
Business Address
PATRICIA KING
2900 BRISTOL ST STE E103
COSTA MESA, CA 92626-7906
Phone number: 714-540-9070
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Mailing Address
PATRICIA KING
2900 BRISTOL ST STE E103
COSTA MESA, CA 92626-7906
Phone number: 714-540-9070
Copy
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