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1255849287
MICHELLE L PENFOLD
SAN PEDRO, CA
NPI
1255849287
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-01-11
Last Update Date
2018-01-11
Business Address
MICHELLE L PENFOLD
235 W 9TH ST
SAN PEDRO, CA 90731-3711
Phone number: 949-891-3904
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Mailing Address
MICHELLE L PENFOLD
240 W 9TH ST
SAN PEDRO, CA 90731-3712
Phone number: 949-891-3904
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