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1033544598
TANA ISABEL CRAIN
SAN PEDRO, CA
NPI
1033544598
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2013-09-03
Last Update Date
2013-09-03
Business Address
-- TANA ISABEL CRAIN Registered Student
599 W 9TH ST
SAN PEDRO, CA 90731-3105
Phone number: 310-831-0331
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Mailing Address
-- TANA ISABEL CRAIN Registered Student
599 W 9TH ST
SAN PEDRO, CA 90731-3105
Phone number: 310-831-0331
Copy
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