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1598960049
TINA DYANE PERRY
VICTORVILLE, CA
NPI
1598960049
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-06-15
Last Update Date
2011-03-07
Business Address
-- TINA DYANE PERRY
13333 PALMDALE ROAD
VICTORVILLE, CA 92392-2535
Phone number: 760-241-4917
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Mailing Address
-- TINA DYANE PERRY
PO BOX 403516
HESPERIA, CA 92340-3516
Phone number: 760-241-4917
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