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1104606193
LARISSA ANNE YONKE
OCEANSIDE, CA
NPI
1104606193
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 16217)
Enumeration Date
2023-10-05
Last Update Date
2023-10-05
Business Address
LARISSA ANNE YONKE SUDRC
1100 SPORTFISHER DR
OCEANSIDE, CA 92054-2550
Phone number: 760-439-6702
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Mailing Address
LARISSA ANNE YONKE SUDRC
624 DOGWOOD CT N
OCEANSIDE, CA 92058-6665
Phone number: 916-474-9977
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