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1023521929
TANNER WAREN GIRVIN
DESERT HOT SPRINGS, CA
NPI
1023521929
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2017-11-14
Last Update Date
2017-11-14
Business Address
TANNER WAREN GIRVIN
7885 ANNANDALE AVE
DESERT HOT SPRINGS, CA 92240-1419
Phone number: 760-329-2920
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Mailing Address
TANNER WAREN GIRVIN
7885 ANNANDALE AVE
DESERT HOT SPRINGS, CA 92240-1419
Phone number:
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