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1215163399
LEA DUPIRAK
SANTA ROSA, CA
NPI
1215163399
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA RI-D0905181000)
Enumeration Date
2009-06-03
Last Update Date
2009-06-03
Business Address
-- LEA DUPIRAK
1710 MENDOCINO AVE
SANTA ROSA, CA 95401-4317
Phone number: 707-571-2215
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Mailing Address
-- LEA DUPIRAK
1955 CENTER RD
NOVATO, CA 94947-2955
Phone number: 415-320-0698
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