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1730618190
VINE PEACE
ORANGE, CA
NPI
1730618190
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA Aii16230820)
Enumeration Date
2017-06-08
Last Update Date
2022-03-28
Business Address
VINE PEACE
265 S ANITA DR
ORANGE, CA 92868-3355
Phone number: 949-749-2500
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Mailing Address
VINE PEACE
265 S ANITA DR
ORANGE, CA 92868-3355
Phone number: 949-749-2500
Copy
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