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1073664215
VENUS P DIAGO
OXNARD, CA
NPI
1073664215
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA PT31429)
Enumeration Date
2007-01-15
Last Update Date
2007-07-08
Business Address
-- VENUS P DIAGO LPT
2055 SAVIERS RD # 10
OXNARD, CA 93033-3608
Phone number: 805-483-2253
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Mailing Address
-- VENUS P DIAGO LPT
1526 PATRICIA AVE APT 153
SIMI VALLEY, CA 93065-0429
Phone number: 805-581-5773
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