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1194599365
STACY RABANAL
SAN DIEGO, CA
NPI
1194599365
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 16728)
Enumeration Date
2023-11-08
Last Update Date
2023-11-08
Business Address
STACY RABANAL
835 25TH ST
SAN DIEGO, CA 92102-2738
Phone number: 619-239-9691
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Mailing Address
STACY RABANAL
835 25TH ST
SAN DIEGO, CA 92102-2738
Phone number: 619-239-9691
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