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1376327999
FERNANDO PENA
LANCASTER, CA
NPI
1376327999
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2023-08-23
Last Update Date
2023-08-23
Business Address
FERNANDO PENA
44447 10TH ST W
LANCASTER, CA 93534-3324
Phone number: 661-726-2630
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Mailing Address
FERNANDO PENA
44447 10TH ST W
LANCASTER, CA 93534-3324
Phone number: 661-726-2630
Copy
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