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1104128958
NORMA JO TAITANO
CONCORD, CA
NPI
1104128958
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2010-11-30
Last Update Date
2010-11-30
Business Address
-- NORMA JO TAITANO
1121 DETROIT AVE
CONCORD, CA 94520-3113
Phone number: 925-685-7613
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Mailing Address
-- NORMA JO TAITANO
1121 DETROIT AVE
CONCORD, CA 94520-3113
Phone number: 925-685-7613
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