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1700450822
DIANNA MICHELLE JENKINS
GALT, CA
NPI
1700450822
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1429020521)
Enumeration Date
2021-05-13
Last Update Date
2021-05-13
Business Address
Mrs. DIANNA MICHELLE JENKINS
750 SPAANS DR STE C
GALT, CA 95632-8609
Phone number: 092-744-9909
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Mailing Address
Mrs. DIANNA MICHELLE JENKINS
750 SPAANS DR STE C
GALT, CA 95632-8609
Phone number: 092-744-9909
Copy
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