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1245877240
IVAN PENA
OCEANSIDE, CA
NPI
1245877240
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: CA 11940)
Enumeration Date
2019-12-09
Last Update Date
2024-09-18
Business Address
IVAN PENA
1738 S TREMONT ST
OCEANSIDE, CA 92054-5309
Phone number: 760-547-1381
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Mailing Address
IVAN PENA
1738 S TREMONT ST
OCEANSIDE, CA 92054-5309
Phone number: 760-439-2800
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