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1760633200
TEHAUNA SOUIX PONCE
VALLEJO, CA
NPI
1760633200
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2008-10-02
Last Update Date
2008-10-02
Business Address
-- TEHAUNA SOUIX PONCE
1017 TENNESSEE ST
VALLEJO, CA 94590-4547
Phone number: 707-647-1520
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Mailing Address
-- TEHAUNA SOUIX PONCE
1017 TENNESSEE ST
VALLEJO, CA 94590-4547
Phone number: 707-647-1520
Copy
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