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1366655409
JUANITA ANTIPORDA
LONG BEACH, CA
NPI
1366655409
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 4176)
Enumeration Date
2007-05-07
Last Update Date
2012-07-03
Business Address
Ms. JUANITA ANTIPORDA
2008 PACIFIC AVE
LONG BEACH, CA 90806-4610
Phone number: 562-591-0011
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Mailing Address
Ms. JUANITA ANTIPORDA
2008 PACIFIC AVE
LONG BEACH, CA 90806-4610
Phone number: 562-591-0011
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