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1346001302
GINA NOEMI PERALTA
LONG BEACH, CA
NPI
1346001302
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 17013)
Enumeration Date
2024-01-17
Last Update Date
2024-01-17
Business Address
GINA NOEMI PERALTA SUDRC#17013
5190 ATLANTIC AVE
LONG BEACH, CA 90805-6510
Phone number: 562-428-4111
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Mailing Address
GINA NOEMI PERALTA SUDRC#17013
5190 ATLANTIC AVE
LONG BEACH, CA 90805-6510
Phone number: 562-428-4111
Copy
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