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1124581541
PEARLA DIANA PENA
PENDLETON, OR
NPI
1124581541
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-04-11
Last Update Date
2023-03-22
Business Address
PEARLA DIANA PENA CADC I
46314 TIMINE WAY
PENDLETON, OR 97801
Phone number: 541-567-2949
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Mailing Address
PEARLA DIANA PENA CADC I
PO BOX 160
PENDLETON, OR 97801
Phone number: 541-567-2949
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