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1629842042
CIARA KANANI PETERSON
ESCONDIDO, CA
NPI
1629842042
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2023-11-07
Last Update Date
2024-01-05
Business Address
CIARA KANANI PETERSON
221 W CREST ST
ESCONDIDO, CA 92025-1739
Phone number: 760-741-7708
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Mailing Address
CIARA KANANI PETERSON
12481 ESCALA LN
SAN DIEGO, CA 92128-1309
Phone number: 858-248-3292
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