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1790354892
MARCI L DE LA PENA
HOLLISTER, CA
NPI
1790354892
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 122179)
Enumeration Date
2021-06-22
Last Update Date
2021-06-22
Business Address
MARCI L DE LA PENA
335 6TH ST
HOLLISTER, CA 95023-3834
Phone number: 831-207-7174
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Mailing Address
MARCI L DE LA PENA
335 6TH ST
HOLLISTER, CA 95023-3834
Phone number: 831-207-7174
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