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1104413103
TERESA PENNER
SAN MARCOS, CA
NPI
1104413103
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2020-12-23
Last Update Date
2020-12-23
Business Address
TERESA PENNER
1560 CAPALINA RD
SAN MARCOS, CA 92069-1288
Phone number: 760-744-2104
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Mailing Address
TERESA PENNER
1560 CAPALINA RD
SAN MARCOS, CA 92069-1288
Phone number: 760-744-2104
Copy
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