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1487007977
JAINEE CHAMPA
ANAHEIM, CA
NPI
1487007977
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2016-07-19
Last Update Date
2016-07-19
Business Address
-- JAINEE CHAMPA
707 N ANAHEIM BLVD
ANAHEIM, CA 92805-2652
Phone number: 714-776-7490
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Mailing Address
-- JAINEE CHAMPA
8404 SAN CARLOS WAY
BUENA PARK, CA 90620-2804
Phone number: 714-776-6090
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