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1578826616
DAWN FORTEVILLE
COSTA MESA, CA
NPI
1578826616
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2012-06-22
Last Update Date
2012-06-22
Business Address
Ms. DAWN FORTEVILLE
2080 PRESIDENT PL
COSTA MESA, CA 92627-4014
Phone number: 949-351-1947
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Mailing Address
Ms. DAWN FORTEVILLE
2080 PRESIDENT PL
COSTA MESA, CA 92627-4014
Phone number: 949-351-1947
Copy
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