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1780266320
JENNY DE LOERA
VENICE, CA
NPI
1780266320
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2021-04-23
Last Update Date
2021-04-23
Business Address
JENNY DE LOERA
717 LINCOLN BLVD
VENICE, CA 90291-2845
Phone number: 310-399-9883
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Mailing Address
JENNY DE LOERA
717 LINCOLN BLVD
VENICE, CA 90291-2845
Phone number: 310-399-9883
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