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1154049245
JENNIFER PENALOZA
VICTORVILLE, CA
NPI
1154049245
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
175T00000X Peer Specialist
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2022-08-16
Last Update Date
2022-09-29
Business Address
JENNIFER PENALOZA BA
15400 CHOLAME RD
VICTORVILLE, CA 92392-2480
Phone number: 760-243-5417
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Mailing Address
JENNIFER PENALOZA BA
15400 CHOLAME RD
VICTORVILLE, CA 92392-2480
Phone number: 760-243-5417
Copy
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