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1477128064
CHANTE D PARK
CHULA VISTA, CA
NPI
1477128064
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2021-05-25
Last Update Date
2024-02-14
Business Address
CHANTE D PARK
1180 THIRD AVE
CHULA VISTA, CA 91911-3139
Phone number: 619-691-8164
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Mailing Address
CHANTE D PARK
1034 20TH ST
SAN DIEGO, CA 92102-1808
Phone number: 619-913-5974
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