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1225372006
VANA PERIGO
TARZANA, CA
NPI
1225372006
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA rw3266)
Enumeration Date
2012-11-19
Last Update Date
2012-11-19
Business Address
-- VANA PERIGO
18646 OXNARD ST
TARZANA, CA 91356-1411
Phone number: 818-996-1051
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Mailing Address
-- VANA PERIGO
18646 OXNARD ST
TARZANA, CA 91356
Phone number: 818-996-1051
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