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1346769775
ANGELA RENEE STARK
SAN DIEGO, CA
NPI
1346769775
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Additional Taxonomies
106S00000X Behavior Technician
Enumeration Date
2017-09-18
Last Update Date
2017-12-21
Business Address
ANGELA RENEE STARK
3978 SORRENTO VALLEY BLVD SUITE 100
SAN DIEGO, CA 92121
Phone number: 858-428-0222
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Mailing Address
ANGELA RENEE STARK
5005 TEXAS ST STE 203
SAN DIEGO, CA 92108-3723
Phone number: 619-692-0727
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