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1801404322
JANET FATA
TRABUCO CANYON, CA
NPI
1801404322
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1397370720)
Enumeration Date
2020-07-21
Last Update Date
2020-10-02
Business Address
JANET FATA RADT
20331 FLANAGAN ROAD
TRABUCO CANYON, CA 92679
Phone number: 818-582-8832
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Mailing Address
JANET FATA RADT
24492 CREEKVIEW DR
LAGUNA HILLS, CA 92653-4207
Phone number: 562-481-0945
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