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1467860130
JENNIFER LEE DORMAN
OXNARD, CA
NPI
1467860130
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 4247-i)
Enumeration Date
2014-07-25
Last Update Date
2014-07-25
Business Address
-- JENNIFER LEE DORMAN
314 W 4TH ST
OXNARD, CA 93030-5910
Phone number: 805-988-1112
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Mailing Address
-- JENNIFER LEE DORMAN
314 W 4TH ST
OXNARD, CA 93030-5910
Phone number: 805-988-1112
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