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1538582614
DANIELLE DEROSA
MALIBU, CA
NPI
1538582614
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
324500000X Substance Abuse Rehabilitation Facility
(Licence: CA KK 455612)
Enumeration Date
2014-01-27
Last Update Date
2014-01-27
Business Address
-- DANIELLE DEROSA
32420 PACIFIC COAST HWY
MALIBU, CA 90265
Phone number: 310-955-6111
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Mailing Address
-- DANIELLE DEROSA
1391 OLD TOPANGA CYN RD #8
TOPANGA, CA 90290
Phone number:
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