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1578913612
JACQUELINE FAYE DISKIN
VENTURA, CA
NPI
1578913612
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2016-06-20
Last Update Date
2016-08-21
Business Address
-- JACQUELINE FAYE DISKIN
5225 TELEGRAPH RD
VENTURA, CA 93003-4113
Phone number: 805-765-6495
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Mailing Address
-- JACQUELINE FAYE DISKIN
5225 TELEGRAPH RD
VENTURA, CA 93003-4113
Phone number: 805-765-6495
Copy
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