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1629589692
ISSA MALENE CHINN
LANCASTER, CA
NPI
1629589692
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2017-10-18
Last Update Date
2017-10-18
Business Address
ISSA MALENE CHINN
1012 E AVENUE J # 358
LANCASTER, CA 93535-3870
Phone number: 661-733-8813
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Mailing Address
ISSA MALENE CHINN
1012 E AVENUE J # 358
LANCASTER, CA 93535-3870
Phone number: 661-733-8813
Copy
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