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1215537998
ANGELA DAWN TIERNO BLACKTHORNE
EUREKA, CA
NPI
1215537998
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2020-10-30
Last Update Date
2020-10-30
Business Address
Ms. ANGELA DAWN TIERNO BLACKTHORNE
720 WOOD ST
EUREKA, CA 95501-4413
Phone number: 707-268-2990
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Mailing Address
Ms. ANGELA DAWN TIERNO BLACKTHORNE
720 WOOD ST
EUREKA, CA 95501-4413
Phone number: 707-268-2990
Copy
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