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1053451740
DANA MONIQUE OTIS
ANTIOCH, CA
NPI
1053451740
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 03-037293)
Enumeration Date
2007-02-08
Last Update Date
2007-07-08
Business Address
Ms. DANA MONIQUE OTIS caarr
3707 SUNSET LN
ANTIOCH, CA 94509-6101
Phone number: 925-522-0124
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Mailing Address
Ms. DANA MONIQUE OTIS caarr
3707 SUNSET LN
ANTIOCH, CA 94509-6101
Phone number: 925-522-0124
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