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1487788923
TOM PENLAND
SANTA ROSA, CA
NPI
1487788923
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-03-15
Last Update Date
2007-07-08
Business Address
-- TOM PENLAND
1430 NEOTOMAS AVE
SANTA ROSA, CA 95405-7575
Phone number: 707-565-7483
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Mailing Address
-- TOM PENLAND
1265 PACIFIC AVE APT 31
SANTA ROSA, CA 95404-3429
Phone number:
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